Name *

First Name

Last Name

Phone *

(###)

###

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Preferred Date *

Please be aware that all sessions must be booked at least 7 days in advance. Your preferred date isn't guaranteed and is based on availability.

MM

DD

YYYY

Who is the session for? *

Family/Friends

Corporate Office/Workspace

Conference

Small Event

Retreat

Age range of attendees.

Children Elementary Age (5-10)

Teenagers (12-17)

Adults (18-65)

Elderly (65+)

What would you like to include in your session? *

Guided Meditation

Guided Journaling & Healing Conversation

Self-Healing Reiki Techniques

Educational Discussion