Request an EAL Session First Name Last Name Email Phone Number (123-456-7890) All fields are required. What Type of Session Would You Like? PrivateCoupleFamilyGroup Number of People Coming (Max 10) Names of Others (Optional, Separate with a comma) Number of People under 16 years old (Optional) Have you had a session with me before? YesNo For new clients, please provide contact information Address City Province Postal Code (A1A-1B1) All fields are required. Would you like your session at Angel Rock Farm? YesNo   Please Specify an Alternate Address Stable Name (Optional) Address City Province Postal Code (A1A-1B1)         Submitted on: