Self Sown Healing Booking Form

Client Details

Complete and submit this form to book and pay for Self Sown Healing: 3 one hour individual sessions. Sessions are preferably weekly or must be completed within 6 weeks of first session.

NB: Online sessions are not provided to persons based in the US or its territories. If applicable, please seek out a practitioner servicing the region.

First name

Last name

Preferred Pronoun (optional)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Phone / mobile:

Select country before adding your mobile # and if adding AU landline, include 2 digit area code prefix eg 02

I confirm I am of adult legal age

I confirm I am not based in the US or its territories

I understand participating in these sessions can involve somatic or body-centred experiences, including a wide range of emotions, as well as light to moderate physical activity and I accept full responsibility for my participation and processing

I agree it is my responsibility to disclose my specific needs and any existing or new health issues or conditions I have – physical or mental – and, if applicable, I will book a Complimentary Call for a confidential chat with the practitioner at least 24 hours before the first session and as needed if my health status changes.

MY BOOKING

Self Sown Healing: 3 one hour individual sessions$360

Sessions are scheduled to Sydney AU time zone. See the World Time Buddy clock to easily compare with your nearest city

My best availability - provide more than one time / day where possible

Appt time guidelines: 9am-6pm Mon to Friday SYD time. Limited evening and weekend times may be available on request.

Megan will confirm 3 appointment times in consultation with you and provide other details via email after the prepaid-booking is received.

ADDITIONAL comments (optional) - please don't share private personal or health info in this form

How I found out about this offering (optional)

I understand by completing my booking, I agree to the Terms of Service & the Privacy Policy [in the website footer]

I understand terms include giving at least 24 hours notice of cancellation prior to commencement to receive a refund or to reschedule session appointments.

I agree sessions will preferably be held on a weekly basis or scheduled to be completed within 6 weeks of first session.

After submitting this form and completing payment I know to firstly check my junk folder if confirmation emails don't promptly appear in my email inbox.

NB: Payment is via PayPal with option to check out as guest (no acct or login) and Pay by Card. Follow the links and on completing billing details at the Pay with Credit or Debit Card page ensure to UNCHECK “Save information & create your PayPal account” which also removes D.O.B. request. If you have any other issues completing your order at checkout please get in touch.