Reiki Participation FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Participant's Name *Phone *Address me Phone What City *State *ZipAgeGenderOccupationEmail *Join Mailing List?YesNoWhat brings you to Reiki? *Physical HealingEmotional HealingWellness & RelaxationOtherCheck all that applyTell me more *Waiver *Yes, I agree.No, I disagree and will not participate.I am aware that Tamara Ronkin is here to serve me by sharing natural Reiki energy healing with me. Her intention is pure, and I agree to receive. I understand that Reiki healing energy encourages self-healing and relaxation. There is no guarantee that Reiki will cure a disease or repair an injury. It provides care and comfort, and is not a substitute for traditional medical care. I will remain fully clothed during the session. I hereby waive any claim against Tamara Ronkin for sharing Reiki with me. I fully understand and agree with the above.Submit