Join AIT Waiting List

Complete the following form, and I’ll be in touch soon.

I would like to add myself to the waiting list for Astrology Informed Therapy.

Name

Phone

Date of birth (dd/mm/yyyy)

Time of birth (if not known please put midday)

Location of birth (to nearest big city)

Country of birth

Tell me about your situation and what brings you here

I consent to this data being stored and processed for the purpose of establishing contact and for producing your astrological birth chart.