Milwaukee Reiki, LLC

Jeffrey Montoya, Reiki Master – Spiritual Guide

414-793-4828

2534 S. Kinnickinnnic Ave, Suite 202, Milwaukee, WI 53207

Reiki II Class Registration Form

Class Dates:Saturday, November 13, 2010
A date for the 2nd part of the class may be set at the first session based unpon need and the availability of the participants.

Location:2534 S. Kinnickinnnic Ave, Suite 200, Milwaukee, WI 53207

Time:1:00PM -5:00PM

Cost:$150.00($50 deposit &balance paid at classes)

Class Description: In Reiki Level II the student learns traditional and modern Reiki symbols, their uses and meanings. The student learns how to send distant Reiki. The student receives an attunement to the second level of Reiki from the Reiki Master/Teacher which increases the flow of Reiki energy for the student.

To register forthisclass, please complete the form below and email () it to Jeffrey Montoyaas soon as you decide to register for the class.

Please mail a$50 depositto

Milwaukee Reiki 2534 S. Kinnickinnnic Ave, Suite 200, Milwaukee, WI 53207

to insure your place in the class.

Name: ______

Address: ______

City, State, Zip: ______

Phone: ______

Email: ______

Pleasetell methe way you want your name to appear on the Reiki certificate you will receive when you successfully complete this class.

FIRST NAMEM.I. OR MIDDLE NAMELAST NAME

Payment enclosed by ____ check

____ Please charge my credit card for the $50.00 deposit

Credit Card No. ______

Expiration date: ______CVC2 Code (back of card, last three digits) ______

Signature ______

All class sizes will be limited in order to provide maximum benefit to the attendees, so please register early.

Payment information: Full payment in cash or check is expected at the session or class unless other arrangements have been made when making the appointment or registering for the class. Payment plans are available for some classes if you make arrangements when you register for the class. If you have scheduled a payment after the class date, then you would provide a postdated check when you attend the class.

Refund Policy: No refunds will be made on “no shows”. Deposit may be applied to future class if registrant gives 24 hours notice. If class is canceled by Jeffrey Montoya, a full refund will be made.

Client Agreement: By registering for Reiki II Class you agree that you have read and understand the following statement:

I understand that Reiki involves a natural "hands-on" method of energy balancing for the purpose of stress reduction and relaxation. I understand very clearly that Reiki is not a substitute for medical or psychological diagnosis and treatment.

I understand that Reiki practitioners do not diagnose conditions, nor do they prescribe substances, nor interfere with the treatment of a licensed medical professional. It is recommended that I see a licensed physician or licensed health care professional for any physical or psychological ailment I have.