Art Therapy - Booking Form - Life in Glow Wellness

Life in Glow Wellness

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* Book an Art Therapy / Photo Therapy Session *

* Indicates required field

Name *

First

Last

City, Country *

Email *

Skype *

Contact Phone *

Date, Time, Place of Birth (e.g. January 1st, 1975, 5am @ NYC, USA), mention time as close as you know, e.g. around 6.20pm OR between 9-10am, OR "2.44am rectified". If you were born in a small place, please include the closest bigger town/ city as well. *

E.g. 27 May 1975, 5am @ NYC, USA

In the question below, please specify who will be the actual client at the consultation (either in person or through questions. Please see FAQ for information about who the consultation can be for. A permission and date of birth is required for readings related to other people involved in your question/ close relationship.

Who is the consultation for? *

Myself Me + Partner (*) Me + Child (*) Me + Another Person (*) Family (*) Another person (* - requires permission)

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Type of Session *

Art Therapy Session PhotoTherapy Session Metaphorical Cards Session Therapy Session (method is by the choice of the therapist)

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Questions for the Session / Brief description *

Type of consultation: *

by Skype in person (Vancouver area)

Your Time Zone & Preferred Time (give a few options) *

Message (please list in brief the topics / questions for your session): *

Confirm your understanding that by using the services of Tatiana (consulting, healing etc), you, or whoever the client, are fully responsible for the outcome. Therapy sessions and crystal healing is offered as a supplementary type of service and is intended for informational, self-discovery and balancing tool only. SyncroVISION(tm) & MAC sessions are offered on informational and educational basis only. A waiver will have to be signed prior to the consultation. *

I confirm the waiver and agree, that I am and the client of the consultation are fully responsible for whatever outcome of the consultation and life events. The consultant is not liable in any way for anything.

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Submit

For any questions, please fill out this FORM.
I usually reply within 2-5 days, unless on vacation or a special project.

To leave feedback after your sessions, you are welcome to fill out this SURVEY.

All consultations require payment prior to the session. ALL PRICES are in CANADIAN DOLLARS
(inquire for prices in USD & Roubles)

1CAD = around 0.75USD
1CAD = around 45-50 Roubles

Info on Payment >>

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