Reiki Agreement

Name:
Tel:
Mobile:
Email address:
Address:
Occupation:
DOB:
Marital Status:
Spouse Name:
Children's Names and DOB:
Spiritual affiliation, if any:

Fees:
Treatment: £50 per hour
Reiki 1 Class: £150 ( 10 - 12 hours)
Reiki 2 Class: £300 (6 - 10 hours, over 2 -3 days)
Reiki Master Course: US$10,000 ( minimum 12 months)

Changes: Re-scheduling or cancellation should be done 24 hours for treatments or the full fee will be charged. We reserve the right to cancel the workshop should the minimum numbers not be reached a week before the due date. Your cheque would then be fully refunded. If you cancel by more than one week before the workshop, we will refund your fee minus 25%. If you cancel within the last postal week before the workshop, or fail to attend, the fee will not be refunded. Participant cancellations must be received in writing via email or letter and will not be accepted by telephone.

Problems: If you say or do anything in a session that you don't feel comfortable with, or if you have any concern with the way we are working, please let me know as soon as possible. For our work to be effective, you have to be honest with me.

Confidentiality: I abide by the Code of Professional Ethics and Conduct of the Reiki Alliance (TRA)and the UK Reiki Federation (UKRF). Anything that you share in the sessions/classes is confidential. I undertake not to use or disclose any information you shared with me during the sessions, with the exception of:

- supervision, though your identity will not be revealed;
- cases where I am required by law to report certain criminal activities, viz. terrorism.

If you intend seriously to harm yourself or others, I will endeavor to work with you and discuss who else needs to know. When appropriate and with your permission, I can offer you counselling, psychotherapy, life coaching and hypnotherapy in the session.

You have read and agreed with the above.

Client:

Date:

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Copyright 2006 Joyce Chiu Broadbent