Reiki Certification Course

Form

Reiki Certification Registration Form- Reiki 1- Reiki 2 - Reiki Master- Reiki Teacher
Name (how you want it presented on your certificate)

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What Reiki Certification course are you registering for? Please only chose the course you are registering for right now.
What format are you looking for?
Have you previously completed any Reiki training?(a copy of the certification will be required if you are applying for Reiki 2 or higher)
Please upload a copy of your most recent and previous certification (only required for those registering for Level Two or higher)

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How many Reiki session have you experienced before?
Why do you want to be certified in Reiki?
What are you personal goals for taking this Reiki certification course?
Are you currently practicing any other healing modalities? If yes please list:
A non-refundable deposit of $100 is required upon acceptance into this course. Once accepted, you will receive a separate email with an acceptance confirmation and more details as well as a payment link. The remaining balance for the course will be due 7 days prior to the class start date.
Date

MonthDayYear
Date
I understand all the information in this form, and I understand this is NOT acceptance in this course and I will receive a separate email once I am accepted.
After booking you will receive a confirmation email with your class date, time, and preparation instructions. Your spot is not confirmed until payment is received."
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