PathFinder Reiki Class Registration

Registrant
Information
* Indicates required field*First Name:    *Last Name:*Street Address:*City:   *State:   *Zip Code:Phone Numbers:  *Day:   *Evening:    Mobile:*Preferred Phone Contact:
Day    Evening    Mobile:E-mail

How did you hear about PathFinder
Reiki classes?

Class Flyer Brochure Friend-Specify 

Name  
PathFinder website Other website or search engine

List your name exactly as
you want it to appear on your Reiki certificate:

*

Single Class Selections:

Intensive Class Selection:

Level 1:

Select Payment Type:
Levels 1 and 2 Weekend:
Select Payment Type:

Level 2:

Select Payment Type:

Level 3–Master
Practitioner:

Select Payment Type:
Level 3–Master Teacher:
Select Payment Type:

Before You Submit:
Please print this form for your records. If you are paying with PayPal, you will find options
to make your payment after you submit this registration form.