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Reiki University - Reiki I 
(for Children)
Class Registration Form

Prerequisite: A Reiki trained adult family member must accompany each child.

The tuition for Reiki l for children is $150. for one child (ages 5-12) plus one (required) Reiki trained adult family member. (Pease note, additional siblings are welcome at the reduced rate of $125. each). This covers all necessary supplies for a certified half day children’s beginning Reiki workshop. A registration deposit is required of $75.00. per child. The balance of $75. for the first child ($50. per additional sibling) must be paid on or before the first day of class. For your convenience, we accept MasterCard, VISA and American Express. You can charge either the deposit or the entire tuition when you register. Payment by check, money order or cash is also acceptable.

A pre-registration phone interview is necessary for this Reiki University™ workshop. Please call: 1-877-HealNet
Please make checks payable to : Reiki Peace Network 

Name of Adult (as shown on check or credit card)-_________________________

Name(s) and ages of child (or children)- _________________________________

__________________________________________________________________________

Address - ________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Phone # - ________________________________________________________________

Email Address  (of adult)_________________________________________________

Class Date - _____________________________________________________________

Method of Payment 

Cash ______  Check or Money Order_______

MasterCard_______  VISA_______  American Express______

Card # - __________________________Expiration Date - __________

Amount of Payment - _______________

Balance Due - _______________
Confirmation of registration will be sent via the U.S. Mail along with
recommendations and suggestions for the class.

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