Client Forms

Please complete the form below prior to your session. If you have any questions please reach out to us here

Medical History
I understand that the success of the Online Past Life Regression Session is based around my willingness to relax and push my conscious mind to the side. I also understand that the price of 1 session is $333 and this is for Pencie’s time as a Clinical Hypnotherapist trained in Entity release & Past Life Regression techniques. I understand that it is my responsibility to provide myself with a safe and comfortable environment in order to undertake the online session. I also understand that if the internet connection should go down during the session, that all I have to do to come out of the Theta state is to gradually become more alert until I am fully conscious. I also understand that it is my responsibility to provide a stable internet connection and attend the session with a working headset that has a microphone that can be placed in front of the mouth. I understand that if I answered YES to say that I agree to share my information anonymously, that Pencie will share my anonymized information on her YouTube channel. I understand that if I answered YES to say that I agree to share my edited video, that Pencie will post the edited video on her YouTube channel. I also understand that if I answered NO to sharing my anonymized information and NO to sharing my video that Pencie will not share any of my information. I confirm that the above information given is correct. I note that the sum $333 is payable for this session and I have already paid prior or during booking.