REGISTRATION FORM
NAME____________________________________DATE_________________
ADDRESS_______________________________________________________
HOME PHONE__________________________________________________
WORK PHONE__________________________________________________
CELL PHONE___________________________________________________
EMAIL ADDRESS _______________________________________________
INDICATE WHICH CLASS YOU ARE SIGNING UP FOR:
INTRODUCTION TO REIKI; REIKI I; REIKI II; REIKI ART/MASTER
DATE(S)______________________
Have you had any previous Reiki training? __________________
Have you had any Reiki treatments? _______________
Deposit amount is $50.00 for Reiki I, Reiki II, Reiki ART/MASTER
Balance is due at registration the day of class.
Please complete this form and mail with your deposit made payable to:
Teresa George
268 E. Marina Pkwy.
Lorain, OH 44052
NOTE: For Reiki I, II, ART & Master Classes, please dress comfortably
and bring a notebook or pad of paper, ink pen, pillow and blanket and a bag
or box lunch. A fee of $25.00 will be charged for bounced checks.