Application for University Form

Application for the Energy Healing Training Program

Awaken To Healing
Prospective Student Information
Full Name

First NameLast Name
Birth Date

MonthDayYear
E-mail
example@example.com
Phone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name
Emergency Contact Phone Number
In the box below please describe why you would like to take the Energy Healing Private Training Program.
Do you have an idea of how you'd like to use this training when you are done? Personally or professionally? Please explain:
Would you prefer to do all of your training on Zoom, or do the Hybrid option which includes the 3 Reiki Level classes in person at our Largo, Florida office?

ZoomHybrid
Date available to begin classes? (Exact Class dates will be scheduled with teacher directly)

MonthDayYear
Date
Do you have any previous experience with Reiki and/or Energy Healing? Please specify.
Have you ever had a Reiki Session performed on you in person or from a distance? Please specify.
Program Policies:
- Program tuition is $1888 paid in full at time of acceptance for In-Person hybrid program, or two split payments of $955 each. First payment is due at time of acceptance. Second payment is due two months after first class date (or sooner if preferred). Split payments must be arranged with teacher directly.
- Program tuition is $1665 paid in full at time of acceptance for Virtual program, or two split payments of $844 each. First payment is due at time of acceptance. Second payment is due two months after first class date (or sooner if preffered). Split payments must be arranged with teacher directly.
- Tuition is non-refundable but may be transferred to another student if training hasn't begun yet.
- If two or more people want to attend all privately scheduled training classes together, a 20% discount on the training program will be offered to each student (i.e. $1511 for in-person hybrid program, or $1332 for virtual program. All classes must be completed together with both student and teacher. Split payments not available for multiple student discounted rate)
- Training Program must be completed with a year of beginning and can be completed as quick as 4 months if preferred.
I, the prospective student, understand and agree to program policies.

Sign and date below:
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Application for the Energy Healing Training Program

Prospective Student Information