SWAN SCHOOL

One-On-One Spiritual Mentorship

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* 1. Name

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* 2. Date of Birth and Birth Time (if known)

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* 3. Place of Residence

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* 4. List Work, Hobbies & Passions

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* 5. Have you practiced Yoga before - what styles and for how long? Do you have a daily ritual practice and if so what does it look like?

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* 6. Three Goals you’d like to accomplish within the next year:

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* 7. Are you interested in writing your own raps for empowerment, spell casting and healing the yoni-throat connection?

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* 8. Areas of your life you would like to work on:

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* 9. Detail Health Concerns, Chronic Issues and Health History. Are you on any medication?

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* 10. Emergency Contact Email & Phone Number

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