Level 1 Reiki Training

Please fill out the form below to register for the Level 1 Reiki Training.

Name
First Last
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Emergency Contact and Phone Number
DOB
Level of Education completed
Are you presently under a doctor's care for any medical conditions?
If yes, please explain
Medications and herbs you are presently taking:
Have you ever been hospitalized for a psychiatric disorder?
If yes, please explain
Have you experienced Reiki before?
What are your goals for this Reiki Class Training?
Is there anything else you would like to share with me about your background, prior experiences, questions or concerns?
How were you referred to Desert Reiki Connection?
If other, please explain
Name of person who referred you to Desert Reiki Connection (if applicable)
How would you like your name listed on your Level 1 Certificate?
By initialing this form, you consent to taking this Reiki Training: I take full responsibility for my decision and do not hold Marsha Drozdoff or Desert Reiki Connection or any agency responsible for this decision. I understand that Reiki is not a substitute for medical or psychological treatments. I have been advised to inform my healthcare professionals about my Reiki Training and the use of Reiki in my life.
Please initial and write full name.
Date
FEES: To pay via PayPal (or by credit card), fill out the following field. When you press submit, you will be directed to PayPal. If you do not want to pay online, skip the field below and press submit.
Reiki Level 1 Training Fee
Price: $150.00 Quantity:
Total
$0.00

Level 1 Reiki Training

Level 1 Reiki Training

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