Reiki Training Registration Please complete the form below. Name: * First Name Last Name Phone: * Best way to reach you on short notice if needed. (###) ### #### Email: * How did you hear about us? * If from a person, please mention their full name so we may thank them. If online, please let us know where. If another way, we would love to hear! Reiki Training Requested * Reiki 2 requires Reiki 1 as pre-requisite. Reiki Master or Master/Teacher requires Reiki 2 as pre-requisite Usui Level 1 Usui Level 2 Current Reiki Certification Level * (None, Reiki 1, Reiki 2, Reiki Master, Reiki Master/Teacher) Other existing certification(s) * e.g. Massage Therapist, Physical Therapist, Yoga Instructor, etc. Past experience with Reiki * What motivated you to join this training? * Date of Birth * MM DD YYYY Occupation * I authorize Vibrant Zen to edit, alter, copy, exhibit, publish, or distribute photos, audio or video for any lawful purpose. * I agree Anything else you'd like to share? * Would you like to receive our monthly newsletter? * You can unsubscribe anytime. Yes No How would you like your name printed on your certificate of completion? * First Name Last Name Thank you!
