Reiki Retreat

Reiki Retreat

November 30-December 1, 2019 at Mary Hill Retreat House, Road to Antipolo, 22 Ortigas Ave. Ext., Taytay, 1920, Rizal
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number

Address

What level are you in Reiki practice?
What is your goal/s for the retreat?
Do you have any food allergies, illnesses, disabilities or ongoing conditions that need to be considered? (All information provided will be kept confidential).
Emergency Contact Name
Emergency Contact Relationship (e.g. Mother, friend, sister/brother)
Emergency Contact Mobile Number
I understand that I need to coordinate payment details through 0917.3218419.

YES
I understand that the Fair Energy Exchange (Php2,500) needs to be settled on or before November 22.

YES
Will you allow us to take photographs during the retreat activities and use it in any and all media for the purpose of promoting the practice?

YES NO
Will you be willing to be part of the group picture?

YES NO
Should be Empty: