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INFORMATION SHEET
RMC strives to accommodate the student's requests for Reiki class scheduling.  In order to best meet these requests, may we ask that you let us know your interests by providing the following information:
  Name: *
  Street Address: *
  City: *
  State:  *
  Zip Code: *
  Day Phone: ex: (555) 555 - 5555
  Evening Phone: ex: (555) 555 - 5555
  Cell: ex: (555) 555 - 5555
  Email: *

  I Am Interested In The Following Classes:
Reiki I & II
Advanced Reiki Training
ART Masters
Karuna Reiki® I & II
Karuna Reiki® I & II Master Levels

  I Am Interested In The Optional Interactive Modalilties Along With Reiki:
Psychometry
BEO-GDV
HeartMath®
Enneagram
Therapeutic Massage

  I prefer To Attend Class At:
RMC in Murphy, NC
  Location closer to my residence in  State

  The Most Convenient Time For Me to Attend Class Is:
  Month of:       Weekday:  |  Weekend:

    I Would Like To Learn More On How To Earn Credit Toward Tuition.
  * = Required Fields