Consent Form

First Name (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) *

Middle Name *

Last Name *

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: *

Yes, 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) *

Yes, I consent to have my Akashic Records accessed by Erika Mason

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