Reiki Training Intake Form
Full Name
*
First Name
Last Name
Address
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Street Address
Street Address Line 2
City
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Postal / Zip Code
Phone Number
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E-mail
example@example.com
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Are you booking a second person for Training, if so, what are their details:
First Name
Last Name
What level of Reiki Training are you booking in for?
Reiki Level I Certification
Reiki Level II Certification
Reiki Level III - Masters
Why do you want to learn Reiki or take your Reiki learning further?
Which Training are you booking in for?
-
Month
-
Day
Year
Date
Which location are you booking?
Please Select
North Epping
Glenhaven - Bellavista Natural Therapies Clinic
Southern Highlands Centre for Healing - Mossvale
Online
What booking option are you selecting?
Single Booking (Reiki I, Reiki II or Reiki III)
Reiki I and Reiki II promotional offer
Reiki I bring a friend price (not your friend will need to register too)
Reiki Refresher
How did you hear about me?
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A friend or family member
Other (Please specify...)
Would you like to be kept up to date with news and events?
Yes
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The teachings and practices offered in this Reiki training course have been handed down from my Reiki Master with the inclusion of my additional learnings and experiences. It's important to recognise that Reiki is a deeply personal practice for yourself and others, and what you learn should serve as a foundation for your own Reiki journey. While the course provides valuable insights and techniques to becoming a Reiki Healer, you are encouraged to integrate the knowledge gained into your practice in a way that resonates with your intuition and experiences. Please be aware that healing is a personal journey, and your Reiki practice may evolve differently from the methods discussed in this course. By enrolling in this course you are open to developing your skills with working with energy and the body, mind and soul. Thank you for embarking on this Reiki journey.
I agree for myself
I disagree for myself
How would you like to make a payment for your Reiki Training
Bank Deposit (no fees) BSB: 484 799 - Acc: 351626884 Vivid You. Please email receipt to info@vividyou.net or text +61 (0)407 461 740
Credit Card Full and Deposit amount - see below
Cash on the day
Other arrangements- let's discuss - tick other payment arrangements in checkout
My Products
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Reiki I
$
360.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Reiki I bring a friend price (10%)
$
327.20
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Reiki I and Reiki II
$
789.00
AUD
Quantity
1
2
3
4
5
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7
8
9
10
Reiki I Refresher
$
185.00
AUD
Quantity
1
2
3
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5
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8
9
10
Reiki II
$
480.00
AUD
Quantity
1
2
3
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5
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9
10
Reiki II Refresher
$
295.00
AUD
Quantity
1
2
3
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5
6
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9
10
Deposit for Reiki
Deposit for Reiki I
$
120.00
AUD
Quantity
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2
3
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7
8
9
10
Other Payment Arrangements
$
Free
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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