BEACH TOWN ATHLETIC CLUB

Appointment Request Form

If Thoughts Become Things… Then every unhealed wound, every lingering trauma, every piece of conditioning and clutter in our mind is shaping the reality we live in. The Subconscious is driving our lives. To rise into our greatest and highest potential, we must be willing to release it all to clear the density, dissolve the illusions, and focus the mind like a divine instrument on what truly matters. For so many, the future is quietly bound by the invisible chains of childhood trauma outdated emotions formed by an emotionally immature consciousness that could not yet see the truth of who we are. These patterns, left unhealed, suppress our destiny and dim our light. The clearing of this trauma is not just emotional healing it is the sacred work of expanding the Soul’s Consciousness. It is the gateway to an even greater union with your own Soul, a merging of your human and divine self so that your life becomes a living expression of your highest truth.And in these times when the spiritual war is no longer hidden we must ask ourselves: Do we have the proven, reliable, and divinely guided tools to protect ourselves, our loved ones, and the sacred mission of our soul?

Personal Information

First Name

Last Name

Email

Phone

Age

Gender

Relationship Status

Picture

Client Intake

1. What are you experiencing? What feels out of alignment?

2. Any suspected curses, entities, or emotional spirits holding you back

3. What you would like me to check

Additional Information

Clearing Intentions

1. What would you like to clear?

2. If you could change anything about yourself, what would it be?

3. Is there anything blocking you from being in a state of peace and living your best life?

4. Are there any psychic attacks or energy wacks?

5. Are you blocked in relationships, money, partnership, or work issues?

6. Please list any childhood trauma or abuse that may be blocking you from becoming the greatest version of yourself.

Additional Information

Permission & Process

Please be aware: I always ask for permission before asking a question. If I receive a “no,” I do not override permission. For example: If I find an entity or curse and you ask who sent it, sometimes I receive permission to ask, and sometimes I do not. Regardless, we can still cast it away into The Light and protect you from being re-attacked.

Acknowledgment / Permission

Payment

The session is $400. Once received, I will send you my finding and we can schedule a 15-minute session so I can answer any questions.