Virtual Support Inquiry Form Due to the nature of birth & bereavement, responses & confirmations may come at odd hours or with some delay. I am grateful for your patience and understanding. Name * First Name Last Name Pronouns Email * Phone (###) ### #### City of residence Please list several dates and times over the next two weeks that work well for a virtual meeting (60 mins). * (family members/support partners/beloveds are welcome to attend) What goals do you have for our time together? * Investment * My sliding scale for a 60 minute virtual meeting is between $30-$200. I encourage you to select an investment in this range that places value on my time and respects the reality of your family's budget. $ How did you hear about me/my services? * Thank you for reaching out! I look forward to connecting with you.Due to the nature of birth work, responses & confirmations may come at odd hours or with some delay, and last minute requests may not be possible. I am grateful for your patience and understanding.Once we have established a time to meet, you will receive a paypal request for the sliding scale amount selected in your booking form. Our meeting will not be finalized until payment has been received. If you are unable to use paypal, please let me know.Talk soon,Kate