REIKI ENROLLMENT APPLICATION

Hello wonderful! I would be honoured to be a part of your Reiki journey. This form is simply a way for me to organize training. Once it has been submitted, I will be in touch within 24-48 hours to get you started ✨

Thank you for choosing me.

NAME*

First NameLast Name

EMAIL*

PHONE*

INSTAGRAM

IF APPLICABLE

MAILING ADDRESS*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Which level would you like to be enrolled in?*

If you have completed Level I, please upload your certificate:

* THIS APPLIES ONLY TO REIKI II STUDENTS

Have you ever received a Reiki treatment?*

YesNo

Tell me a little bit about why you are interested in Reiki certification: *

What questions do you have for me?