Request edit access
Reiki Certification
It is an honor and pleasure to offer Reiki Practitioner Certifications. Please take a moment and fill in all questions.
Email address *
First and Last Name *
Your answer
What city do you currently live in? *
Your answer
Please enter your phone number. *
Your answer
How did you hear about Reiki Practitioner Certification with Dr. Christie Smirl? Web search, friend or other. If a friend or acquaintance told you about the program, please include their name so I can thank them. *
Your answer
What type of back ground and experience in Reiki or pranic healing do you have? Experience is not required. *
Your answer
Which certification are you currently interested in learning more about or registering for? *
Are you able to attend classe Saturday 9am to 5pm? *
Please tell me a little bit about yourself. *
Your answer
Why do you want to complete Reiki Practioner Certification personally and professionally? *
Your answer
If you have any questions about the program, please feel free to ask them here.
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service