Reiki Booking Form
Complete this form if you are interested in Reiki services with Christina.  If you are filling this form out on behalf of someone else please fill their information in on all fields and indicate your name and relationship in the last field. You can expect a response within two business days. 
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Email *
First Name 

Tell us the name you go by. This doesn't have to be your legal first name.
 *
Last Name *
Date of Birth *
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DD
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Pronouns *
Email *
Phone Number *
Please select all services you want to book
 *
Required
If you are interested in distance Reiki please indicate below whether you want to be present for the session
Have you ever received Reiki healing before? *
Please tell us what you would like to focus on in your Reiki session (ex. a particular chakra, pain somewhere in your body, etc.) and whatever other presenting concerns or information you think she should have.
 *
How did you find Christina? *
I acknowledge and understand that following my submission I will be required to pay my balance in full prior to my booking request being accepted. *
I acknowledge and understand that I am required to provide 48-hour notice prior to cancellation to receive a refund otherwise I will forfeit my fee in its entirety.  *
Please provide your Venmo or Cashapp tag to have a payment request sent to you. Will come from @Xlimit or $Xlimit *
Once this form is completed please visit Distance Reiki Session or In Person Reiki Session Pre-Screen to book your slot.
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If you are filling out this request for someone else, please indicate your name and your relationship to them.
 *
A copy of your responses will be emailed to the address you provided.
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