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 *

Address *

Time Zone *

Best phone to call (with country and/or area 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) *

Choose Zoom or phone (phone calls within the United States only) *

1 hour consultation via zoom: $111
For phones within USA only: 1 hour consultation via phone: $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.

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