Comprehensive Reiki Training Registration Form 2021-2022

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Please fill out this form if you are interested in the class after having your initial consult with Jessica.

Email *

Full Name *

Address (including city/state) *

Email *

Phone *

Phone type *

Mobile

Home

Work

Have you received a Reiki session before? *

Yes

Receiving at least one Reiki session is a pre-requisite for taking this class, because a healer must have experience with a modality before entering career training in that modality. If you have answered no to the question above, do you agree to receive at least one Reiki session from a healer of your choice prior to the start of class? (It can be a distance session and does not have to be from Jessica Sharp. Please understand that answering 'No' on this question may make you ineligible for this class.)

Yes

Clear selection

Have you taken a Reiki class or workshop before? *

Yes

What are your goals with taking this class? (check all that apply) *

To become a professional Reiki practitioner

To add Reiki techniques to my current profession

I'm already certified, but want to further deepen my knowledge and skills of Reiki

Other:

Required

If "Other", please explain:

How did you hear about this class?

Google

Gentle Hands Reiki website

Facebook

Instagram

flyer

word of mouth

Other:

Clear selection

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