Amy Woods, AstroNumerologist
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Child Intake Information
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Indicates required field
Child's Current Name (First and Last)
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First
Last
Email
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This will be the main contact email and where the MP3 will be sent.
Phone Number
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Please list a contact phone number
Chart Information:
Full Birth Name
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Please send me your child's full birth name (ie birth certificate name).
Place of Birth
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Please list the city, state and country your child was born. If you are unsure please state that you do not know.
Date of Birth
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Please send me the month, day and year you were born
Time of Birth
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Please list your child's time of birth. If you are unsure of the exact time put in your best estimate
Is this the exact time of birth?
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Yes
No
Was Your Child Adopted?
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If your child was adopted and had a name change at birth please list what you know. This is not required information, but can be extremely helpful to work into the chart.
Specific Questions or Concerns?
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Do you have any specific questions or concerns?
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Home
About Amy
Readings
Testimonials
Officiant
Contact