The Alchemy Movement
A.G.E. Registration Form
The ALCHEMY Goddess Energy registration
SECTION I: PERSONAL INFORMATION
Please note all information is kept private and will never be shared.
(* denotes required fields)
Indicates required field
Date of Birth
Place of Birth
Time of Birth
If time of birth is not know please enter unknown
I understand that the Alchemy Goddess Energy Journey is a 7 month process and by signing up I commit to working through all 7 Spheres
As I only accept 6 people to take part in this process each year I want to make sure you are aware that if you commit it will be for the full process. Please answer yes or no.
I understand that sessions and gatherings may be held both in person and remotely?
Yes, I understand.
No, please explain how the process works remotely.
Please select your preferred exchange option:
Option 1 - Full exchange for 7 Spheres including the 7 Ascention Oils & Crystals R19554
Option 2 - Full exchange for 7 Spheres excluding oils & crystals R17777
Option 3 - Monthly exchange x7 including Oils & Crystals R3054
Option 4 - Monthly exchange x7 excluding Oils & Crystal R2777
Option 5 - I would like to make a different exchange arrangement.
Please select the option you would prefer, you will be invoiced once I've received your selection. If you need to arrange a different payment plan please select option 5 and we will make a plan.
Are you suffering from any known medical conditions, please state below?
Are you undergoing any medical treatment or taking any medication?
What do you hope to gain from this journey? Please supply a brief description.
How did you hear about the Alchemy Goddess Energy Journey?
Sessions, Courses and Ceremonies
The workshops, courses, ceremonies and individual sessions offered by me, Gisela Bean, are Shamanic and self-awareness practices serving the personal growth and development of my clients.
Shamanic energy work
Shamanic practitioners are not considered as recognised doctors, nor as healthcare practitioners or
therapists in the western legal and health care systems. Therefore I do not make any promises of healing. In
energy work the focus is not on illness or diagnoses, but on strengthening the conditions for health. Every
client is obliged to inform me in advance about current conventional medical therapies and treatments. I
reserve the right to refuse or terminate sessions on a case-by-case basis.
Clients take up my offers voluntarily and self-responsibly. Accordingly, clients can terminate their participation
in an event/session/course at any time - but without any claim for compensation.
Courses booked and paid for in full are non-refundable, if you are unable to complete or attend the course you will be offered the opportunity to attend when you are able within a calendar year of course date.
If you have committed to monthly course payments you will be required to give a months paid notice if you are unable to continue.
Remote sessions can be cancelled free of charge up to 24 hours before the agreed appointment.
Sessions in my practice at The Alchemy Movement can be cancelled free of charge up to 24 hours before the agreed appointment.
Home visits and on-site appointments at the clients' place of residence can be cancelled free of charge up to 7 days before the agreed appointment. After that 50% of the price will be charged, up to 3 days before the agreed appointment 75% will be charged and in case of no-show the full price will be charged.
I offer the following payment options: Cash payment, PayPal or bank transfer. Payment must be made before attending the session/course/ceremony. Payment confirmation will be issued (electronically) once payment is received.
By signing this document, I confirm that I have read, fully understood and agree with the information in this
document. I accept and agree to the terms and provisions contained in this agreement.
Name in Full
The Alchemy Movement, 6 Mulbarton Street, Randburg, 2194, South Africa
+27 82 377 0658
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A.G.E. Registration Form