Remote Spirit Release – Client Info & Consent Form

Thank you for trusting our team and guides at Sunflower Healing Hub to conduct your RSR session! Please fill out the information below. After receipt of your contact form, you will receive an invoice by email within 24-hrs. After payment, we will complete your session within 2 weeks or less! 🙂

Please enable JavaScript in your browser to complete this form.

Full Name Purchasers *

First

Last

Individual purchasing for someone else.

entertainment understand lighter,

Phone Number *

Purchaser Email *

Email

Confirm Email

This will be where your report of findings will be sent.

Full Name Of Client

First

Last

Client is the Recipient of RSR Clearing (If different from purchaser)

Date of Birth *

Client receiving RSR Clearing

Location Of Client Receiving RSR Clearing *

(U.S. City, State, Outside the continental U.S. Use Town & Country

By booking this RSR session, I acknowledge that once the RSR Clearing is complete, it's non-refundable—no take-backsies! If life throws me a curveball and I need to cancel, I can do so within 24 hours of payment, but I'll be hit with an $11 service fee (because, as much as we'd like to, even credit card processing has a costs). I agree to release Carolyn & John Custer and their team from any and all claims, injuries, damages, losses, or legal shenanigans (including lawyer fees) that may arise from their actions, errors, or occasional hiccups during this Service Agreement. I also understand that Carolyn & John Custer are not licensed medical professionals nor providing medical advice, and while I might walk away feeling lighter, brighter, or more zen, there are no guarantees of actual healing. This session is for entertainment purposes only—no magic wands or doctor's notes included! However, I will receive a detailed report of findings, and aftercare instructions so it's not all just smoke and mirrors. I agree to provide feedback after reviewing report *

• Agree-I’m ready to continue
• Disagree-I’ve changed my mind

Brief Client History and/or Concerns

3 Questions – OPTIONAL

Feel free to ask up to 3 questions you’d like the guides to answer. However, we can’t guarantee they’ll answer every one. Sometimes the answers aren’t meant to be revealed for the highest good. Think of it like getting a cosmic “keep it secret” memo! After receipt of your contact form you will receive an invoice for service. After payment we will complete your session within 2 weeks or less! 🙂

Submit

Property Clearing

Thank you for trusting our team and guides at Sunflower Healing Hub to conduct your RSR session! Please fill out the information below. After receipt of your contact form, you will receive an invoice by email within 24-hrs. After payment, we will complete your session within 2 weeks or less! 🙂

Please enable JavaScript in your browser to complete this form.

Full Name of Purchaser *

First

Last

Individual purchasing clearing.

Phone number *

Purchasers Email *

Email

Confirm Email

This will be where the report of findings will be sent.

Terms of Use! By booking this property clearing, I acknowledge that once the clearing is complete, it's non-refundable—no take-backsies! If life throws me a curveball and I need to cancel, I can do so within 24 hours of payment, but I'll be hit with an $11 service fee (because, as much as we'd like to, even credit card processing has a costs). I agree to release Carolyn & John Custer and their team from any and all claims, injuries, damages, losses, or legal shenanigans (including lawyer fees) that may arise from their actions, errors, or occasional hiccups during this Service Agreement. I also understand that Carolyn & John Custer are not licensed medical professionals nor providing medical advice, and while I might walk away feeling lighter, brighter, or more zen, there are no guarantees of actual healing. This session is for entertainment purposes only—no magic wands or doctor's notes included! However, I will receive a detailed report of findings, and aftercare instructions so it's not all just smoke and mirrors. I agree to provide feedback after reviewing report *

• I Agree
• I Disagree

If you disagree you can stop filling out form now. Sorry to take up your time.

with What after

Location of land or home for the clearing requested. *

(U.S. Address, City, State. Outside the Continental U.S. Use Address, Town & Country.

Property Particulars'

• Vacant Land?

Approximate Acreage

House on Property

• Yes

How many?

Out Building

• Yes

How many?

Water on the property

• Lake
• Pond
• River/Stream

Septic

• Mound
• Conventional
• Other

Drinking Water

• Private Well
• Shared Well
• City Water

Common Shared Wall/Fence or Boundary Disputes

• Yes

What is it & Location?

Livestock

• Yes

Type of Live Stock

Pets

• Yes

Type and how many

Brief Property Description *

Describe Issues you are having with the property.

3 Questions About the Property

Feel free to ask up to 3 questions you’d like the guides to answer. However, we can’t guarantee they’ll answer every one. Sometimes the answers aren’t meant to be revealed for the highest good. Think of it like getting a cosmic “keep it secret” memo! After receipt of your contact form you will receive an invoice for service. After payment we will complete your session within 2 weeks or less! 🙂

Submit