Solstice - 21 December 2017

Please complete this form with any of your details that have changed or if you would like to update your details or let us have your focuses for this event.

If you have a family or group membership, a separate form should be sent in for each member of your group. All info that is shared is treated with complete confidentiality.

Q1 - Q2 are required, but Q3 - Q10 are optional, so feel free to include as much or as little info as you like.

Send the form by clicking the 'Done' button at the bottom of the page when you have finished, or if you prefer to send it via e-mail, just copy and paste the completed form (without clicking the "Done" button) into the body of an e-mail and send it to Edna's personal mail or to earthhealadmin[at]gmail[dot]com

* 1. Name of EH member:

* 2. Species

* 3. Location on the 21 December (nearest town/city, state, country):

* 4. E-mail address (if it has changed):

* 5. Your three main personal focuses for this event:

* 6. Please list any specific problems/challenges you would like the treatment to focus on:

* 7. Please list any health issues you need help with, surgeries you have had and medications being taken:

* 8. Important periods and dates in your life - include traumatic or stressful times and events, accidents, injuries, deaths, births, miscarriages or abortions, divorces, marriages, loss of job, moving home etc.:

* 9. If there is any other relevant info you would like to share, please do so in the box below:

* 10. If there are any focuses for the planet that you would like to add to the list for the planetary healing side of the event, please list them below:

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