Quantum Reiki Master Applicant Form

Quantum Reiki Master Certification Course

Please complete the form below to apply for the Quantum Reiki Master Certification Course in Spring 2025!
Full Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Email Address
example@example.com
Where do you live? Where would you be Zooming in from?
Please select the type(s) of Reiki you have been certified in previously:

Other
What month + year did you complete your Reiki Level 1 + 2 certification?
Please list all previous certifications title, level, organization name, and teacher name:
Please select ALL of the symbols you were given from your Reiki Level 1 + 2 certification:
Why are you interested in Quantum Reiki (or my medicine) as opposed to other forms of healing? Give me a better understanding as to what’s calling you HERE!
What are your intentions with this training? What do you think your medicine is? Why do you desire this path?
If you have NOT taken Reiki 1 + 2 with Madison prior, but you were certified through another institution/teacher, upon reviewing your application if you match the qualifications you will be contacted via email to set up a brief interview. A very casual 30 minute to discuss your previous training to ensure you are fully qualified for this certification training. Chatting it out helps us both make sure this is the right fit :)
I understand the cost of this certification program is $3,333 USD and that includes food and lodging for the in-person component. It also include infinite ongoing access to Madison for guidance and support as I venture out into the work of working on others.
Should be Empty:

Quantum Reiki Master Certification Course