Event Registration Form

Retrogrades and Eclipses Workshop - Astrology Chart Info

Required info to complete personal chart!

First Name *

Last Name *

Email *

What is your full birthdate? *

Included month, date, and year.

What is your exact birth time? If you don't know you can look at your birth certificate. *

Indicate AM or PM

Where were you born? *

Include city, state, and country

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