Client Intake Form

Mentoring & Tutoring Consultations

Thank you for choosing to have a Mentoring & Tutoring Consultation with Colleáyn Klaibourne.
These sessions are done via Zoom or by Phone.
Information to send to Colleáyn at least 2 Days before your session: 

I look forward to working with you.

Client Intake Form

Each field needs to be filled out completely in order for this form
to be successfully submitted to Colleayn.
The reason I ask for occupation is in case I’m seeing different work, hobbies, education, etc. that would be good for you to explore.

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Questions for your Session

This will give me an idea of your topics of interest and questions before your session so I can prepare ahead of time. We will see how much we can cover during our session together because no matter how much time we have together, it never feels like enough!
For example- Astrology, Angels, Qigong Healing Techniques, Meditation, Spiritual Boundaries, Feng Shui…
Please note, many of these areas of study may need more time than one session to go into depth of learning.

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Birth Information for Astrology Chart. (This is not required, but is very helpful for your session.)

Please include your birth location, exact time of birth and if you were born in the am or pm.
Please write out the month. For example: January 1, 1999 or March 2, 2011.
Exact birth time is required in order to create an accurate astrology chart.
Ex. Birth Certificate (Hospital Record, Birth Record), Parental Memory, Baby book, Rectification from another Astrologer…. Your Birth Certificate is the most accurate.

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Thank you.

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