Simply Reiki3 Course Registration Form
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Email *
Last Name *
First Name
Contact Information(Phone/Cell number) *
Communication Preference *
*Due to a hearing impairment  - I communicate via text or email.
Full Address(please included postal code)
*Reason for address
Address information is needed to mail course manual prior to course.  This gives you time to go over content
Course Level *
Date of Course(check Calendar of Events on to confirm dates and times) *
Requirements for Level II,III and Master/Teacher
Students taking Level II,III and Master /Teacher must provide a copy of prior Reiki Certificates.
A copy of your responses will be emailed to the address you provided.
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