Reiki Participant Registration & Consent

Reiki Participant Registration & Consent

A Four Week Program Exploring Foundational Reiki, Shamanic and Violet Flame Reiki
The Oasis Sanctuary

Reiki Participant Registration & Consent
Welcome! This confidential form collects participant information, health considerations, and required consents for Reiki sessions, circles, or trainings at The Oasis Sanctuary. Your responses are private and only shared with your facilitator, Lady Jesaira. Please complete all required fields.
Participant Information

Please provide your contact details.
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Pronouns (optional)
How are you planning to attend?*

In-PersonVirtual
Emergency Contact

In case of emergency, whom should we contact?
Emergency Contact Name*
Emergency Contact Phone Number*
Please enter a valid phone number.
Reiki Background

Tell us about your Reiki and energy healing experience.
Reiki Level*

NoneLevel ILevel IIMaster
Please describe any previous energy healing experience you have (optional).
Health & Safety

Your well-being is important to us. Please answer honestly.
Are there any physical or mental health considerations you would like us to be aware of? (optional)
Your responses are confidential and will only be shared with your practitioner as needed.
Please list any medications or sensitivities we should know about (optional).
Medical Disclaimer: Reiki is a complementary adjunct healing practice and does not replace medical care. Please consult your healthcare provider for any medical concerns.
Consent & Ethics

Please review and agree to the following.
By participating in this training, I acknowledge the risks involved and voluntarily agree to assume all responsibility for my safety, releasing The Oasis Sanctuary/Jesaira Glover from any liability for injury or property damage. I have read and agree to the Consent & Liability Waiver.*

I agree
I will respect and honor myself, fellow participants, and the facilitator throughout this training. Further, I will commit to ethical engagement upon completion and align myself with the spirit and intentionality of Reiki Healing. I will abide by and commit to the FIVE primary principles of Reiki: 1) Just for today, I will not be angry. 2) Just for today, I will not worry.3) Just for today, I will be grateful.4) Just for today, I will do my work honestly.5) Just for today, I will be kind to all living beings, emphasizing living in the present and cultivating compassion. I have read and agree to abide by the Reiki Code of Ethics.*

I agree
Payment Information

Payment is required to finalize your registration. Please complete payment separately as instructed by your facilitator. COMPLETE PAYMENT HERE (SEE BELOW).
My Products
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Violet Flame Reiki RegistrationThis payment secures your spot for the Reiki Training held by the Oasis Sanctuary
$277.77 Quantity

Total

$0.00
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Payment Status*

PaidPayment Arrangement Pre-ApprovedSponsored
Media Release (optional): I grant permission for photos or recordings during the event.

I grant permission
Please sign below to confirm your registration and consent.*

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Reiki Participant Registration & Consent

The Oasis Sanctuary

Participant Information

Emergency Contact

Reiki Background

Health & Safety

Consent & Ethics

Payment Information