Online Healing Room Sign-up Form

・Date(開催日):Saturday, July 16th, 2022
・Time(開催時間):10:00 - 11:30 JST(日本標準時間)
・Language(言語):English and Japanese (英語と日本語)

*For your convenience here is a sign-up form.
*A zoom link will be sent to your registered email after a few days this form has been submitted.
*If you prefer, please let us know briefly your healing request. (or you could let us know at the day of.)

If you have any questions regarding the online healing room or this form please contact(もしオンライン・ヒーリング・ルームまたは申込フォームについてご質問がありましたら、下記のメールアドレスにご連絡ください
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Email *
Confirm Email(確認のためもう一度メールアドレスを入力してください) *
Name(氏名) *
Please provide a brief explanation of your healing request. If you prefer, you can explain it to us on the day of.
Healing Request(癒しリクエスト)
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