Please use this form to submit birth information for an astrology reading with me.
If you're submitting information for more than one person, please submit a separate web form for each person and put your name in the Comments. You'll need to refresh the page in your browser (usually press F5) between submissions.
If a birth time is unknown, please use 12:00 PM.
Please enter any helpful information in the Comments section, such as time zone, daylight savings, or county. (You'd be surprised to know how many states have non-standard time zone policies or multiple cities with the same name!)
If you have a question or problem with the web form, please send a message through the Contact Form on the Connect page.
Enter Your Birth Info