Consent Form

Name first, middle, last (Please provide your current, full, legal name, as it appears on your current Driver's License. This is how we open your personal Akashic Records) *

First

Middle

Last

Email *

Country and State, Territory or Region *

Time Zone *

Best phone if I need to reach you in an emergency or technical issue with Zoom (USA phone or What's App number for other countries with country code). *

I am at least 18 years of age: *

I consent to have my Akashic Records accessed by Erika Mason: (checking this box serves as my signature) *

I only do Zoom Meetings for sessions. This way I can send you a recording if you'd like one. (If this presents a problem you can email me and we can discuss other options.) *

1 hour consultation via zoom: $111

Do you Believe in Past lives? *

What topic(s) are you interested in asking about during your session (some general background). *

How did you hear about me? *

Participating in this session means that you agree with the following: This session is intended to provide general and inner developmental information only and is not intended as legal or financial advice, psychological or psychiatric counsel, medical advice, diagnosis or treatment. Consult your physician or health care professional regarding particular health matters. Erika Osmann Mason and Light Filled Life OT disclaims any liability arising directly or indirectly from any information given or received in this consultation. (Please write "I agree" if you wish to continue) *

Can I add you to my Email List to provide discounts and announcements? (I only sent them about once a month, and you can always Unsubscribe easily!)

Thank you! I am really looking forward to meeting with you!