Registration Form

Name: Silachi
Address: 1611 116 Ave NE, Suite 101, Bellevue, WA, 98004, US
Telephone: 425-524-8003

Ready to Reclaim Your Energy and Peace?

Welcome! This is the first step toward transforming burnout into sustainable high performance and inner calm. At Silachi, we help tech leaders and IT executives in Bellevue and the Seattle area recover from burnout using a proven holistic approach.

First Name

Last Name

Cell Phone

Address

City

State

How did you hear about us?

Medical conditions, Injuries, personal notes

You can attach a photo for energy diagnostics or other information

I understand that Alex Akselrod is a wellness coach dedicated to sharing his knowledge, tools and resources with clients. His services are meant to be support in addition to any other medical treatments necessary. Wellness coaches do not diagnose conditions, nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a doctor. I understand that wellness coaching does not take the place of medical care. It is recommended that I see a physician for any physical or psychological ailment I may have.

E-Signature (Full Name)

Date

Why People Choose Silachi

– Personalized burnout recovery for high-performing tech professionals

– Blend of energy work, mindset coaching, and practical strategies

– Calm, judgment-free environment designed for busy leaders

Questions? Call or text: 425-524-8003