Akashic Record Form Please enable JavaScript in your browser to complete this form.Email *Full Name at Birth *Current Full Name (if there are changes) *Phone Number (with area code) *Date of Birth (dd/mm/yyyy) *Country of Birth and State ( this information is required Akashic Reading) *Gender *MaleFemaleDoes not wish to discloseIntention of the Akashic Soul Reading, ( Example your 6 months intended goal ) to improve Relationship/ Health/ Finances) *Please tick which session you are interested, you need to complete the Basic soul reading session before moving on to the rest, you can also purchase more than 2 readings. *Akashic Soul Reading session - Basic soul reading sessionLife Purpose Reading - Know your Life purpose and the key lessons in this life time.Relationship Reading - This session is for Partners, Children, Siblings, our business partnersLife situation Reading- Overcome difficult situations in life and get guidanceProperty Realignment - Energetic Realignment to your propertySpirit Guide Reading - Know your guides and get the channelled message from your guidesRelationship Reading - 60 mins ( Pls fill the details, if you choose this reading) Please provide details of the other person Name at Birth Current Name if any changes Date of Birth Country and Place of BirthPlease provide details of the other person Name at Birth Current Name if any changes Date of Birth Country and Place of BirthLife Situation Reading - 60 mins ( Pls fill the details, if you choose this reading)Please provide details of problem that you are seeking solution (Maximum 3 problems)Spirit Guide Reading - 60 mins (Pls fill the details, if you choose this reading)Please provide maximum 5 questions that you are seeking clarity and guidance from your spirit teamProperty Realignment Reading - 45 minsPlease provide address of the property that you require clearing for and the reason for this session (e.g. energy mismatch - of occupiers/ to attract quick sales ) Please confirm the information provided to us is true to the best of your knowledge. ( By acknowledging below, you hereby also release the healer from any liability as result of the services rendered). *Yes & AgreedSubmit
