How do you prefer that we contact you? (check all that apply)
If you know someone who serves on a Wellsprings team and would prefer that they NOT be involved in your session for any reason, please indiciate their name(s) below.
Sometimes close friends or family may not want to participate in each other's sessions for any number of reasons. If it does not matter to you which team members are present, or if you do not know any team members by name, just leave the field blank.
i.e, more about you, why you are requesting a session, etc. This is optional and will only be seen by the Wellsprings leadership.
NOTE; If you want to request an emergency session, please indicate that below and explain. Emergency requests will be reviewed by the Wellsprings leadership team.