Mentoring Application Form

Fill out the form below to apply for mentoring. We will respond to you via email with the outcome of your application, and if successful the next steps for booking and payment.

Your details

Name

First Name

Last Name

Current location

Date, location and time of birth (if known)

For astrological calculations.

Occupation

Mentoring

What type of mentoring are you interested in?

Single Session

Lunar Journey

Season of the Rose

What draws you to mentoring?

Have you worked with us before if so in what way?

Health

Describe your current physical, emotional and mental health

List any medications you currently take

If none, leave blank.

Do you have a heart condition?

If yes, please explain.

Are you pregnant?

What is your existing spiritual practice if any?

Have you ever worked with visionary plants?

Such as ayahuasca, peyote, san pedro etc.

Do you have a history of sexual, physical or emotional trauma that you feel called to mention?

Please note this is all totally confidential.

Mentoring Application Form

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