Consent Form

Click this link: Printable PDF of the Form, or you can fill out online below:

Please answer all the questions; if “no” or “not applicable”, type no or n/a. All fields are required.

Research and Publication Consent - The information I am about to recall about my past lives, life between lives or multi-dimensional self may be used for research and/or publication by Claudia Jean Hilton and/or The Michael Newton Institute. I assign to Claudia Jean Hilton the right to use my words and anonymized identity for valuable consideration, the sufficiency of which is acknowledged here. This may include written publications or speaking engagements to enlighten others about their purpose on earth knowing my name and any personal identifying information is not used other than age, gender, and general occupation. I understand that my confidentiality will be completely honored.
List significant people in your life so far. Please include relationship and interesting characteristic of each individual.