Name *

First Name

Last Name

My session would be: *

In person

Via Zoom

Phone *

(###)

###

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I am interested in: *

Hypnosis - Life Between Lives Hypnosis

Hypnosis - Past Life Regression

Hypnosis - Hypnotherapy for an issue or issues

Bodywork - Therapeutic massage

Bodywork - Relaxation massage

NAET Allergy Elimination

Other (please explain in your "Message")

If I'm interested in a massage, I'd like to book a:

60 minute session (please note that full body relaxation cannot be done within 60 min)

90 minute session

120 minute session