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Reiki Tummo Workshop Registration

Full Name: (*)	Please enter your name
Address: (*)	Please enter address
City: (*)	Please enter City
State/Prov: (*)	Please enter State/Prov
Zip/Postal Code: (*)	Required Input
Phone: (*)	Please enter Phone #
Email: (*)	Please enter email address	Only to be used for workshop contact
Best way to contact me: (*)	PhoneEmail Select at least 1 choice
Name you would like on your certificate: (*)	Please enter name for certificate.
	Please select workshop(s) you will attend.
Reiki Tummo Level 1	First Time ($100)Repeat ($25) Invalid Input	Prerequisite: None
Reiki Tummo Level 2	First Time ($200)Repeat($25) Invalid Input	Prerequisite: Level 1 and self-healing
Kundalini Workshop	First Time ($145)Repeat ($25) Invalid Input	Prerequisite: Level 2
Meditation Workshop	First Time ($160)Repeat ($25) Invalid Input	Prerequisite: Level 2
Reiki Tummo Level 3a	First Time ($250)Repeat ($25) Invalid Input	Prerequisite: Level 2 and 21 days practice
Shing Chi (bonus) (TBD)	9th chakra ($5 + donation) Invalid Input	Prerequisite: Level 3a
How did you hear about the workshop?	Invalid Input
Please enter digits you see:	Refresh Invalid Input

	Send Registration will submit your info and link to a page with the option of paying the $50 deposit if you are new to any of the workshops.