Reiki Energy Medicine
 
 
Online Registration Form for Reiki Classes, Hypnotherapy
and Other Workshops.
 
 Please note: some insurances have a Health Awareness or Education Option and they may reimburse for courses and sessions.  Check with your provider for more information.
Do Not Use Your Enter Button Or Form Will Prematurely Be Submitted.
  First Name     
  Last Name     
  Mailing Address     
  City     
  State     
  Zip     
  Email Address     
  Confirm Email Address     
  Telephone     
  Please Select Your Class  
   

Reiki One$ $75

 

 
  Reiki Two $125 at Nia NH and Yoga, August 8, 2010, Amherst, New Hampshire 

 

  

 
 

Past Life Regression , One Hour Group Hypnosis Session $35 -

 

  

 
   

Group Session:  Weight Loss with  Hypnosis - $45 

 

  
 

 

Meet Your Spirit Guides  Group Hypnosis      $45 

 

  
 

Healing Grief  $35-   

 
 

Karuna Reiki Training - Arizona $700  

 

 

Learn How To Meditate Workshop $50

 

  

Angel Card Reading  
 
.
          Manifesting A Darn Good Life.     $80
                                                                        

.

 
 
 
 
.
 
 :

 

 

Messages From Spirit          $40   -

 

Reiki One For Teens

  $75 or  $50 for  Younger Children

Two or more teens (bring a friend): $50 each

 

 

Meridian Tapping Technique $100:

 

 
 

 
 

Karuna Reiki® Master Training in New Hampshire

Level One and Two:  $250 (required as a deposit prior to class)

Master Training:  $300 (May be made in two payments)

 

-

 

 

 

 
 

Day Of Healing   $130

 

 

 

 

 

 

 

 

 

Please Note

Registration is not complete until tuition is received in the mail, as space is limited and reservations are necessary.  Clients with limited funds are encouraged to contact us to make payment arrangements.  There are many options we can discuss that will enable you to have a private session or take a course.  

MasterCard and Visa

 Credit cards are now accepted.  Please call (603) 483-0132 to process your card information or  Make Check Payable to Diane Gelinas and Mail to:
 
Diane Gelinas
A Step Forward
104 Douglas Drive
Candia, NH, 03034

 

  
 

 

  

 
Gift Certificates Are Available
  The Above Class Is  A Gift  
  Please Send Me A Gift Certificate  
  The Gift Certificate Is For    (name)  
 
This Gift is For :
Reiki One Reiki Two
Other  Please Describe
 
  Please Mail Certificate To Different Address  
  Street Address Where Certificate Is To Be Mailed    
  City     
  State     
  Zip     
If You Are Interested In Private Hypnotherapy Session Please Indicate Below
  Please Send Me More Information On:  
  Weight Loss Smoking Cessation  
  Conquering Fears Past Life Regression  
  Meet Your Spirit Guides and Angelic Guides  
Individual, hypnotherapy sessions generally last an hour and are $75 a session.  Package Plan Discounts May Also Be Purchased
Please Tell Us How You Found Our Site
  Referred By A Friend Already A Client  
  Brochure At Other:  
Link From Other Web Site   Site Name:
 
 
Additional Comments or Questions: - Please indicate the date of the session you are enrolling for if more than one session is listed.

Reminder:  Registration Tuition Fees Are Necessary in advance

To reserve a space in a session or class.

Please call the office (603) 483-0132 if you registered and will not attend a session as we often have waiting lists for classes.

Tuition is non-refundable after registration deadline, however, transferable to future workshops.  Tuition is also refundable if the course is cancelled or rescheduled to a date you can not attend.  A fee of $25 will be assessed on any returned checks.

 

Once All Information Is Completed Please Select Enter To Submit Form