Reiki Class Registration

Carol J. Spears, Reiki Master/Teacher

(330-929-4478); caroljspears@cs.com; www.heartinhands.com

Name:____________________________________________

Address:__________________________________________

_____________________________ZIP CODE____________

Phone:________________Email________________________

Check One:  Level 1 ____ Level 2 ____ Level 3 (Master) ______

Date of Class  (See flyer)_____________________________

Class Fee (See flyer for cost):_________________________

Deposit* (see below) ________________________________

Signature ________________________Today’s Date ______

*Minimum 20% deposit due by two weeks prior to the class in order to hold your space.  Classes are limited in size due to the amount of personal Energy work that is done on each student.

Please mail this registration form and deposit to:

Carol J. Spears

447 Treeside Drive

Stow, OH  44224

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