Individual Private Session
Please fill out the form in its entirety. 

Once payment is received, you will receive an email to set up the day and time of your private session.
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What is your email? *
What is your preferred name? *
What is your date of birth? *
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DD
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What is your birth time? (If unknown, leave blank)
Time
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What is your birth place? *
What was your birth name? *
List all name changes, approximate date of change, and reason for change. (If no changes, leave blank)
I work by tips and donations from my clients. Feel free to wait until we meet to see the value received. You can use paypal, cashapp, or venmo at the below tags. *
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