Reiki Course Application Form

Welcome to our Reiki Courses 2020

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 in Cheltenham and Gloucester. These are booked here with The Healing Company using this form and paid direct.

For Reiki Courses held at The Cotswold Academy in Cirencester, please book and pay with them here.

Please see The Healing Company's GDPR policy here
PERSONAL INFORMATION
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Post Code
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 comfort / suitability for the course *
How did you hear about The Healing Company Reiki Courses?

Word of Mouth via Janie Whittemore directly Google or internet search Facebook event Idun Spirit Isbourne Centre
Which Course are you applying for? *

Level 1: Fri 10 July 2020 Idun Spirit, Gloucester Cost: £149.00 Course Ref: L1-100720 Level 1: Sat 1 August 2020 Idun Spirit, Gloucester Cost £149.00 Course Ref: L1-010820 Would like a future date for Level 1 Would like a future date for Level 2
PAYMENT INFORMATION

Payment to be made by direct banking to

The Healing Company
Acct No: 24922897
Sort Code: 60-05-16

Ref: [YOUR SURNAME} + COURSE REF NO
Enter your NAME + COURSE REF BELOW as you will put on your bank transaction so I know who has paid and for what. ie JONES L1010820
Date paid in to the above account: *
Amount paid in:
Amount in Pounds
Contact me if you would like a payment plan.
Please read the information sheet about your course and the terms and conditions. You may want to print and keep for your reference.
Marketing

Yes, I am happy to have my email address used for course information and healing sessions by The Healing Company
Newsletter

Yes, subscribe me to the occasional news from Janie at The Healing Company
signed

I have read and agree to the terms and conditions
Name

First Name Last Name
THANK YOU
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Welcome to our Reiki Courses 2020

PERSONAL INFORMATION

RELEVANT PREVIOUS TRAINING