Clone of Reiki Registration Form

SRI Registration Form

Please complete the following information:
Name

First NameMiddle NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
What are your current challenges in life right now?
What emotional, mental or spiritual challenges do you currently have regarding your own health?
What do you think and/or feel needs to happen now in your life?
What do you believe is your soul's purpose?
Have you studied / practiced Somato-Respiratory Integration before?

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SRI (Somato Respiratory Integration): June 6-7, 2026, 9:30-6:30 pm

This 2 day training (9:30 am to 6:30 pm EST) is a combination of lecture, discussion, demonstration and practice time. In this 2 day workshop, you will learn techniques and strategies that will help facilitate your own healing and transformation. This will instantly help you release the mental, emotional, physical and spiritual blockages that prevent you from moving forward in your life so that you can experience your body more fully.

$595.00 CAD

Total

Payment Methods

Credit Card

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I authorize Oasis Health & Wellness to charge my credit as noted above:
Oasis Health & Wellness Center

90 Dale Avenue, #1402, Scarborough, Ontario, M1J 3N4

Cell: 647-571-5477 * Email: grace.so.oasis@gmail.com
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SRI Registration Form

My Products

Payment Methods