TOM MALCHI
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Book your spot - Mauro & TOM in WA APR 2025
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Email
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Name
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First
Last
DOB
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Phone Number
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Booking For:
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Choose Meditation
Mother meditation 18th Apr ($420)
Grandfather meditation 20th Apr ($420)
Both Mother & Grandfather 18th and 19th April ($800)
The information you provide will remain confidential.
It is very important that you share this information accurately and honestly so we can make sure you have the safest and
most beneficial session.
Do you currently suffer from any physical/ mental conditions/ serious allergies (please specify)?
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Past surgeries, major illnesses (including psychiatric) & accidents
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Past or current medications, supplements and treatments
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Past or current recreational drugs/frequency of alcohol use
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Have you done this type of work before?
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Name of referring person ( if working with me first time )
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If you like/ready to share, what is your intention for the meditation?
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Liability
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I AGREE THAT I HAVE READ CAREFULLY THIS LIABILITY WAIVER (presented in the link below) AND FULLY UNDERSTAND AND AGREE WITH THEIR CONTENTS.
Liability Waiver
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