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Simply Reiki3 Course Registration Form
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* Required
Email
*
Your email
Last Name
*
Your answer
First Name
Your answer
Contact Information(Phone/Cell number)
*
Your answer
Communication Preference
*
Via Text
Via Email
Both
*Due to a hearing impairment - I communicate via text or email.
Full Address(please included postal code)
Your answer
*Reason for address
Address information is needed to mail course manual prior to course. This gives you time to go over content
Course Level
*
First Degree(Level I)
Second Degree(Level II)
Master Practitioner (Level III)
Master Teacher Level
Other:
Required
Date of Course(check Calendar of Events on
www.simplyreiki3.com
to confirm dates and times)
*
First Degree(Level I) - Saturday, November 5th and 6th, 2022 (9:00 am - 1:30 pm)
Second Degree(Level II) Saturday, January 21st and 22nd, 2023(9:00 am - 1:30 pm)
Required
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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