Pay-What-You-Can Reiki Days Registration Form

  • Pay-What-You-Can Reiki Days Registration Form

    🎁 Gifting a Session? A Reiki healing session is a beautiful gift of peace. If you are booking for someone else, please: 1) Enter the recipient's name and contact information in the form fields below so I can prepare for their arrival. 2) Complete the payment on the following screen. Note: All sessions are non-refundable.
  • Format: (000) 000-0000.
  • Appointment Date & Time (1-hour session)
  • Type of session*
  • Payment amount (at least $40; value is $130):*
  • Preferred Method of Payment*

  • Payment

    All payments for Pay-What-You-Can sessions are non-refundable. If the session is canceled with at least 24 hours notice, the amount paid will be credited to a future full-priced service. If the session is canceled with less than 24 hours notice, the payment will be forfeited.

     

    Online Form Submission

    By clicking the "Submit" button below, you confirm you have read this form, and all questions have been answered. you understand that Reiki is a simple, gentle, hands-on energy technique that is used for stress reduction and relaxation. You understand that Reiki practitioners do not diagnose conditions nor do they prescribe or perform medical treatment, prescribe substances, nor interfere with the treatment of a licensed medical professional. You understand that Reiki does not take the place of medical care. It is recommended that you see a licensed physician or licensed health care professional for any physical or psychological ailment you may have. You understand that Reiki can complement any medical or psychological care you may be receiving. You also understand that the body has the ability to heal itself and to do so, complete relaxation is often beneficial.

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