Class Registration
Hello, please fill out this form to register for my classes. Feel free to reach out to me for any questions! I look forward to seeing you soon.
Name
First Name
Last Name
Email
example@example.com
Which class are you signing up for?
Please Select
Qi Flow Class (Monday)
Qi Flow Class (Tuesday)
Qi Flow Class (Friday)
Reiki Experience
Have you paid Lepeng (Venmo/Zelle/Paypal)?
Yes
No
Do you have any questions or concerns?
Submit
Should be Empty: