Forms must be filled out at time of booking with the exception of Covid-19 Waiver which must be filled out within 24 hours of appointment.

Workshop Form


Reiki Registration Form

I am bound by the HIPAA Law and I do not share your information

DISCLAIMER: Any and all statements, services and/or products contained herein this workshop and/or by Mary Silvernail, ACI, RMT are not intended to diagnose, treat or cure any disease or illness and are not a substitute for medical advice and/or medical treatment. All deposits/payments are final – NO REFUNDS OR CREDITS. NO OUTSIDE SOLICITATION ALLOWED.

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