Please take a moment to fill out this form to apply for a Purpose, Passion & Power complimentary introductory session. Your Information Is Safe With Us! Please take a moment to read over the information below to understand our terms of service. Celestial Vibrations, LLC makes no, and implies no, warranties or promises as to the accuracy or efficacy of the consultations or readings provided to the client (known as the signatory below) in the context of a session, whether provided in person or by electronic media. Results from these sessions or consultations may vary. Celestial Vibrations, LLC takes no responsibility for decisions made by, or actions taken by, a client as a result of information acquired during a consultation or reading. A consultation with Celestial Vibrations, LLC is not intended to be a replacement of or substitute for medical care by licensed health professionals. The client is advised to continue consulting with his/her care provider. The client will not hold Celestial Vibrations, LLC liable for decisions made by the client regarding modification or suspension of traditional treatments. No claims are being made to the client that any disease condition will be diagnosed or treated. If you understand and agree with these terms, please fill out the information below.. *Denotes Required Field. First & Last Name*: Address*: City*: State*: Zip*: Phone*: Email*: Best time to call: (Days & Times) We take your privacy seriously. Security measures have been taken, and we will not share your information with others. * By checking this box you are agreeing to these terms.