Reiki Class Registration -November 2017
Perspectives Holistic Wellness Reiki Classes with Linda Carol Adrienne & Kimberly Smith, Usui/Holy Fire II Reiki Master Teachers
Email address
Reiki 1 & 2 Hands-on Training
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Name/Nickname (what you like to be called)
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Name as you want it to appear on your certificate
(If you want your full name and/or credentials to be printed on the certificate)
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Street Address
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City
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State
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Zip
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Contact Phone Number
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Special Needs
Do you have any dietary or mobility special needs that we should consider in making the space ready for you?
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What is your experience with any type of energy healing? Please receive at least one Reiki session from any practitioner prior to class.
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Prior Reiki classes - when, where, with whom.
To recertify, please list all your Reiki classes. (for ART/Masters, you must have Reiki 1&2 and a conversation with us)
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Payment Choice
Send a check via postal mail. Address will be given on confirmation page. A deposit is required to hold your space. Registration closes October 27. Deposit is refundable, less $33 materials fee until October 31. Paypal payments will also be accepted. Contact Linda Carol Adrienne for details (757-504-4261)
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