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BEYOND WORDS & WISDOM

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* Indicates required field

Name (First and Last) *

Email *

Phone Number *

Have you ever experienced energy work before? *

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Are you comfortable with light touch? *

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Do you have allergies to essential oils? *

Yes No Unsure

Do you have any medical issues I should be made aware of? *

Yes No

If yes, please list conditions here *

Are you pregnant? If yes or unsure please wear white to your appoinment *

Yes No Not sure Does not apply

How did you hear about me? *

Where are you located? *

Disclaimer : I am not a medical professional. I do not diagnose in any way. Shamanic Practices and Energy Work are all non-medical healing modalities that work beautifully in conjunction with all modalities including traditional medicine. It is up to you as a loving responsible pet owner and human to seek professional advice or treatment for yourself and animal at all times. By submitting this agreement you are agreeing to release me and my property from all liability. Do you agree? * *

I would like to be added to your Weekly Wisdom with prompts to create conscious awareness in my everyday life. You may opt out at anytime. * *

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Prior to your session please drink plenty of water and stay away from caffeinated beverages as much as possible.
Please dress comfortably and bring water for after your session.
Location:
78 Walnut Street, Winsted, CT. 06098

White house with solar panels. Please pull up to the garage and park. Klarity Kottage is behind the house. My cell 860.806.9684 just in case.
Please text or call if you are running late. Thank you.

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Home
Newsletter
ABOUT KELLY
- RESOURCES >
WORK WITH KELLY
Insights
Retail / Events
Contact
Questionnaire