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Booking Form

Personal details of person booking the session

Name*

First Last

Address*

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Telephone*

Email*

Would you like to receive emails from us?*

In order to measure client satisfaction and also share relevant information emails are sometimes sent to current and past clients.

Yes

Where did you find out about our SRT services?

How many people are to be cleared?*

Person 1 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Person 2 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Person 3 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Person 4 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Person 5 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Person 6 to be cleared

Name*

Address*

Same as booking person address

Street Address Address Line 2 Town/City Postcode Country

Date of Birth*

Gender*

Pets

Are there any pets to be cleared?

Yes

Pet's name*

Pet's animal type*

Terms and Conditions

Terms and Conditions of therapy:

All information shared by the client is treated in strict confidence. However, if there is deemed to be a serious risk to either the client or anyone else then information may be disclosed appropriately. In this event the client will be advised accordingly.
In accordance with the General Data Protection Regulations (GDPR) client records are maintained and stored securely for 8 years after which they will be destroyed by shredding.
Spirit Release Therapy/Spiritual Health Checks can be done on family/friend members without their express permission as we ask their higher self if they are happy to participate. Many people due to mental health issues, hospitalisation or strong medication are unable to give their permission.
Spirit Release Therapy/Spiritual Health Check sessions carried out via distance healing. You do not need to connect on Zoom/Facetime. You may wish to sit/lay and relax during your session but if you are busy it will work just the same as we are working on your energetic body.
Whilst most clients notice changes straight away the energy continues to work for up to a week.
Payment (£199 for the first person, £50 for each person thereafter) is securely by PayPal on submission of this form and in advance of the session. When payment has been received your session time is scheduled and this is usually within 5 working days.
Clients will be notified of when the session is due to start (15-30 minutes notice) and when the session has been completed. Results will be shared both verbally and also summarised in a written report. You will be provided with a further report with advice on how you can protect yourself. Both of which are generally carried out within 24 hours of the clearing.
It is important that all family members are cleansed at the same time to prevent negative energies transferring to them whilst you have your clearing. Other family member clearings are offered at 50% discount but they get the full clearing too.
In some cases a SRT session will remove all entities. However, there are occasions where more sessions maybe required. It is very important that you take responsibility and implement the advice shared to protect your energy field. Exactly the same protocol is conducted for each session.
As professional therapists professional development is regularly undertaken. This may include sharing client experiences and results (on an anonymous basis) with peers and supervisor(s). If you would prefer not to be included please inform your hypnotherapist by ticking this box [ ].
The SRT Therapists reserves the right to discontinue sessions at any time if they feel uncomfortable for whatever reason or feels that the client is not taking sufficient responsibility for making changes themselves.
We treat you with respect and courtesy and we expect likewise from you. We understand you may be experiencing a very difficult time but we will not tolerate rudeness in any circumstances. In the event of unsatisfactory behaviour we reserve the right to not carry out clearings for you.

Please tick the box below to accept the Terms & Conditions and proceed to PayPal to make a payment and submit your booking.

Terms and Conditions*

I accept the Terms and Conditions of therapy above

Payment by PayPal

Clicking the submit button below will direct you to PayPal to securely pay for the booking. Please note that the booking won't be submitted to us unless the PayPal payment is made.

Payment Method

Total

TEMP

Booking Form

Personal details of person booking the session

Person 1 to be cleared

Person 2 to be cleared

Person 3 to be cleared

Person 4 to be cleared

Person 5 to be cleared

Person 6 to be cleared

Pets

Terms and Conditions

Terms and Conditions of therapy:

Payment by PayPal

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