Reiki Registration Form

Reiki 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.
Why do you want to study or review Reiki?
What emotional, mental or spiritual challenges do you currently have regarding your own health?
What do you think and/or feel needs to happen in your life now to progress or heal?
What do you believe is your soul's purpose?
Please list any medications you are currently taking and why:
Have you studied or practiced Reiki before?

YesNo
If yes, how long have you been practicing Reiki:

Less than 6 months1-3 years4-6 years7-9 years10+ years
Please list any Reiki Certifications you have received (in date/year order) and forward a copy for my review. If you have already attended a Reiki class with me, you can skip this request:
File Upload

Cancelof
For the Reiki I & II (First and Second Degree) Certification Class and the Reiki Master Certification Class, how do you wish your name to appear on your Certificate?
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

PLEASE SELECT the REIKI classes you wish to attend. Upon receipt of your payment, you will be notified via email of any homework you need to complete in preparation for your class:

Reiki I & II (First & Second Degree) 2 Day Certification Class: July 18-19, 2026, 9:30-6:30pm

Ready to learn how to use Reiki to heal yourself and others? This 2 day training is a combination of lecture, discussion, demonstration and practice time. You will learn how to use hand placements, Reiki symbols and the healing guide to address various conditions, as well as how to transmute patterns and blocks in your body. You will also have the opportunity to give and receive a complete treatment so that you are confident giving and receiving Reiki to realign your body, mind and emotions with the universal life force energy to accelerate your healing.

$575.00

Reiki Master 3 Day Certification Class: August 22-24, 2026, 9:30-6:30 pm

This is an excellent training for those who desire to be Reiki Masters, as well as those who are already Reiki Masters who wish to deepen their understanding of Reiki, increase the effectiveness of their Reiki energies and activate a higher level of attunement and awakening within.
After completing this workshop, you will be able to initiate students into all levels of Reiki, which includes Reiki I, II and Reiki Master. This training is taught as the Usui/Holy Fire® III style of Reiki which is a combination of the Usui system as taught by Mrs. Takata, and the Holy Fire® III style.

$1,500.00 Quantity

Total

$0.00

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