Family Soul-Group Webform

Name of client who is getting the reading*

First Last

City/State/Country*

City/Town you reside in State / Province / Region Country

Email*

Email - Please type your email address again (you have no idea how many people get it wrong the first time!)*

Phone*

Birth Information:*

Month of birth	Day of birth	Year of birth (ex. 1970)	Time of birth - needs to be actual hour and minute(s)	City & State of birth

All birth data needs to be submitted before 48 hours of the session in order to do an accurate reading. I reserve the right to cancel any session that does not have all the information asked for to do the reading.

What is the source of your birth time?*

Gender*

You would like a reading about:*

Please describe your family configuration:*

(Things to mention that might explain the background behind your questions: Is anyone in your family adopted? Does/did your family have a single parent? Are the parents a gay couple? Is there step-family or half-family? Is your family a mix of cultures, races or religions? How many siblings in this family? Are you thinking of growing your family?)

What would you like to discuss during your session?*

Asking the right questions is one of the most important factors that helps your astrology reading serve your needs. I’ll need to know your questions and areas of concern well in advance so I can prepare to address them.

Nursing Infant

I have a nursing infant and I will need to bring him/her to the session.

I am a returning client*

No
Yes

How did you find out about me?*

If a friend or family member referred you, what was their name?

Respecting my time and yours:*

Please check this box if you understand the policy below.

All readings are scheduled AFTER prepayment. Cancellations up to 48 hours before your reading are subject to a FULL refund. Cancellations within 48 hours of the appointment are subject to a fee of half the reading cost. Postponements within 48 hours of the appointment are subject to a $25 rescheduling fee. This is because I have already spent over an hour preparing your chart and I have hired childcare to enable me to see you.

Pandora Astrology's monthly newsletter

Yes! I would like to receive Pandora Astrology's monthly newsletter with articles, discounts and free stuff.
I do NOT want to receive Pandora Astrology's monthly newsletter with articles, discounts and free stuff.

Family Member Information

Please fill in all the information you have for any family members you'd like included in this reading. Don't worry if you don't have it all right now. We understand this may take you some time to research, so you can email details to us later if you need to.

Name of Family Member

First Last

Family member's relationship to you

Gender of family member

Birth Information of family member

Month of birth	Day of birth	Year of birth (ex. 2015)	Time of birth - needs to be actual hour and minute(s)	City & State of birth

What is the source of this family member's birth time?

Name of Family Member

First Last

Family member's relationship to you

Gender of family member

Birth Information of family member

Month of birth	Day of birth	Year of birth (ex. 2015)	Time of birth - needs to be actual hour and minute(s)	City & State of birth

What is the source of this family member's birth time?

Name of Family Member

First Last

Family member's relationship to you

Gender of family member

Birth Information of family member

Month of birth	Day of birth	Year of birth (ex. 2015)	Time of birth - needs to be actual hour and minute(s)	City & State of birth

What is the source of this family member's birth time?

Name of Family Member

First Last

Family member's relationship to you

Gender of family member

Birth Information of family member

Month of birth	Day of birth	Year of birth (ex. 2015)	Time of birth - needs to be actual hour and minute(s)	City & State of birth

What is the source of this family member's birth time?

Family Member Information

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