2008 REIKI HEALING CENTER SUMMER SEMINAR REGISTRATION

2008 REIKI HEALING CENTER SUMMER SEMINAR REGISTRATION

Name:__________________________________________________________________

Mailing Address:Street:__________________________________________________

City, State, Zip Code: ____________________________________________________

Phone: Home __________________________Other___________________________

E-mail: (optional) _____________________________________________________________

Website: (optional)_____________________________________________________________

Food allergies:________________________________________________________________

Need physical assistance:_______________________________________________________

The Reiki Healing Center Handicapped Accessible – however we may use other locations and we need to know if you can not do stairs:________

Sign up for Reiki & other Classes, Share, Meditation, Private Sessions, and Evening Events

$50 non-refundable deposit per class. Please write times available each day:

Pick days attending

Thursday August 14^th, _____________ ____________ ___________

Activity would like to do:____________ ____________ ______________

Friday August 15^th, ____________ ____________ ___________

Activity would like to do: __________ ____________ ______________

Saturday August 16^th, __________ ____________ ___________

Activity would like to do: ____________ ____________ _____________

Sunday August 17^th,____________ _ ________ _ __________

Activity would like to do: _________ ____________ ______________

TOTAL Class Fees ($50 Deposit per class or Full Payment per class) $______________ Total daily/entire registration fee for 1 to 4 days with or w/o classes $______________ TOTAL Class Deposits/Payments/Registration Fees $_______________