Shamanic Training Intake Form


  • MM slash DD slash YYYY
  • Share a bit of your spiritual journey.
  • Whether now or in the future?
  • Please share a bit about your circle? Is it still active? If not, what happened?
    Now or in the past have you been in therapy?
  • Day you landed on earth:

  • :
  • City, State, County and Country (if not the USA)


Thank you for sharing this information about yourself!

Bright blessings,
Michele Grace Lessirard

This is the small print: Because of the personal revelations involved, we observe a very strict policy of confidentiality within the program. Your attendance is express compliance with our strict confidentiality policy. We ask that you not share someone else’s personal information outside the group. At our discretion we reserve the right to cancel any workshops or training courses, or the participation of anyone, at any time, for any reason. In such a case, fees paid in advance will be reimbursed.