REIKI CLASS SIGN UP

BARB HEINTZELMAN, CMP & RMT, 559-289-7747

410 West Olive Ave. Ste 101, Fresno, CA 93728

NAME ___________________________________________

ADDRESS________________________________________

CITY & ZIP________________________________________

PHONE NUMBER__________________________________

E-MAIL__________________________________________

For which Reiki Class would you like to sign up?

      /__/ REIKI LEVEL ONE ($100)

     /__/ REIKI LEVEL TWO ($150) pre-requisite: Reiki 1

    /__/ REIKI MASTER requires ONE YEAR of working with the Reiki Energies  1 & 2

Date of the Class to be taken: _____________________________

I understand that payment for the Reiki class is due when this application is turned in and that all payments are NON-REFUNDABLE.  

Signed _______________________________________________

Date _________________________________

Print this page out and complete. Please turn in this application (along with payment) to:

Barb Heintzelman Ki To Wellness Reiki & Massage

410 West Olive Ave. Ste 101

Fresno, CA 93728