Registration Form Reiki Level 1

Form and Payment must be submitted in order to reserve your space in the class.

First Name & Last Name

Location

Occupation

Date of Birth

Why are you interested in taking the Reiki 1 course?

Have you taken a Reiki 1 course before? If so, with who?

What are your thoughts about Reiki/Energy work?

Are you willing to commit to engaging in the course for 4 weeks (1x per week 90 minutes)? Investment $180

I declare that the info I’ve provided is accurate & complete

JD