Book a 1:1 Somatic Integration Session

Session’s Terms&Conditions*

Name

First Name

Last Name

E-mail

Phone

(###)

###

####

What offering are you booking?

Prefferred Date

What day should we meet?

MM

DD

YYYY

Preferred Time

What time should we meet?

Hour

Minute

Second

Where should we meet?

*make sure you have read the Session's Terms&Conditions :)

What would you like to work on in the session?

What is your intention and/or focus for the session

Is there anything else you want to share?

Anything I should know before we meet

I understand that this is a request and my appointment will be confirmed separately

By submitting this request I confirm that I have read and agreed to the Session's Terms&Conditions* (see above)

(If you are booking one of the packages, please submit the preferred date and time of the first session.
You can still suggest further dates in the notes below or we can discuss it together separately :) )