Reiki Course Application

Welcome to our Reiki Courses 2019

application form
When the student is ready, the teacher will appear!
Please use this form to apply for a place on one of our Reiki Courses held at: The Isbourne, Cheltenham 01242 254321

For Reiki Courses at the Cotswold Academy, Cirencester please book direct: Cotswold Academy 01285 885122

To see our GDPR policy please click https://www.thehealingcompany.com/privacy_notice
PERSONAL INFORMATION
Name

First Name Last Name

Address

Email Address
example@example.com
Phone Number

Area Code Phone Number
RELEVANT PREVIOUS TRAINING
Please list any training or experience related to Reiki or other forms of healing, adding new lines where needed
Please list any medical conditions and medication that may affect your suitability for this course
How did you hear about this course?

Which Reiki course/s are you applying for?

Please tick the right course below:
*

Level 2: 19 Jul (payments on or after 19 May) £288 Ref L2-190719 Level 2: 25/26 April Early Bird (payment made before 25 Feb) £265 Ref L2-260419EB Level 2: 25/26 April (payment on or after 25 Feb) £288 Ref L2-260419 Level 1: 7 Jun Early Bird (payment made before 7 Apr) £152 Ref L1-070619EB Level 1: 7 Jun (payment on 7 April or after) £175 Ref L1-070619 Level 2: 11/12 Jul Early Bird (payment made before 19 May) £265 Ref L2-190719EB Level 2: 11/12 Jul (payment made after 19 May) £288 Ref L2-110719 Level 2: 31 July / 1st August £ 288 Ref L2-310719
PLEASE MAKE YOUR INTERNET BANKING PAYMENT TO:

Bank: Natwest
Name: The Healing Company
a/c: 24922897
Sort code: 60-05-16

Please use your LAST NAME and our COURSE REF NO. on your bank transfer, thank you!
Your name on the transaction:
Course Ref No. on the transaction:
Date paid in to the above account:
Amount paid in:
Amount in Pounds

Please read the two information sheets attached here and print out to keep for your reference.
Information Sheet - Venue and Terms & Conditions (PDF)
Information Sheet - LEVELS 1 & 2 Course details
Please sign with your e-signature here

Clear
Enter the message as it's shown *
Newsletter

Yes, subscribe me to the occasional newsletter from Janie
Do we know of each other already ? Please tick which category applies to you...

An existing client / student? Learnt Reiki with The Healing Company? Interested in learning Reiki ? Not currently a client or student with The Healing Company?
THANK YOU!
Should be Empty:

SAVE 25%

on monthly & annual plans

Create your own JotForm

Welcome to our Reiki Courses 2019