VIP Intention

Welcome to your VIP Coaching experience!

Thank you for saying YES. The next six months together are going to be amazing!!! To help create the most powerful experience for you, I ask that you fill out the questionnaire below as soon as possible.

Intention is everything.

Keep it simple. Know that once you’ve sent this to me, your intention has been SPOKEN and ALL the work that unfolds in this space will be in support of those desires.

I also need some essential information from you to ensure the relevance and efficacy of any herbal/lifestyle recommendations I may make (or magical potions I send your way)… and I’m gathering some fun witchy details as well.

Step
One:

Please feel into your intention and the results you want to co-create through this work.

First Name *

Last Name *

Email *

Phone Number *

Please include area/country code

Birthday *

Birth place *

City and State/Province/Country

Birth Time (hh:mm) *

In 24 hour time

Intention

What is your overall intention for our time together? *

(This can change, but it gives us an idea so we can begin to support your intention as soon as possible.)

What specific circumstances are you looking to shift? *

Witchy Deets

Current familiar (AKA primary Animal Guide) *

If you know or have an idea...

Favorite divination tool(s)? *

Tarot, oracle deck, runes, pendulums, etc... which (if any) do you love to work with?

Current favorite color? *

If you were going to come back as a plant in your next lifetime, which plant would you be (and why)? *

Favorite number? *

Do you have any intuitive/spiritual/soul gifts you'd like to develop? *

Ex. clairvoyance, mediumship, intuitive knowing, divination, shamanic journeying, etc.

Who is your "wild" self, and how does s/he want to be expressed? *

The Menagerie Collective LLC Mentorship Agreement

We are so excited you have decided to embark on this journey with us, and it is our goal to guide you through a positive and transformational life experience.

Privacy Note: The information you provide us both here and in session will be kept in strict confidence. Unless required by law or for resolution of any dispute, we will not disclose, sell, or in any form communicate your personal information to a third party.

Disclaimer

Lola and/or Tigre Pickett support people in making positive life changes. S/He does this by offering Shamanic healing, spiritual mentoring, life coaching, other forms of energy work (including Reiki), and sharing information, advice, and instruction.

Neither Lola nor Tigre is a licensed medical practitioner. S/He do not conduct any medical or psychotherapeutic work or diagnoses, rather they offer their clients an earth-based awareness of self and a broad spiritual perspective to aid them in their self-healing and self-empowerment. They makes no claim that any of their services will directly heal, cure or otherwise change your current health and situation.

They offer advice and information based exclusively on their perspective, training, and life experiences. They make no promises regarding the accuracy, relevance and quality of the information and the methods used in their work.

By submitting this form, I acknowledge that I have read the above information and know that if I choose to enroll in any program with Lola or Tigre Pickett, work with them whether in person or online, and/or attend their Workshops, I take full responsibility for any life changing effects or consequences that this may or may not have. I also understand that for this work to work, I will do my part in all of the homework (aka “playwork”), exercises and other tools that Lola and/or Tigre suggest(s) during our work together and I take 100% responsibility for doing so as part of this process.

Participant's Full Name/Digital Signature *

Enter your full name, first and last, as you have entered it on this form like so: /s/John Doe

Date *

Format: MM/DD/YYYY