REIKI GUILD MEMBERSHIP FORM

Welcome to the Reiki Guild South Africa. Please complete your details below.

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* 1. Please check your relevant Membership type below, selecting whether you are a Reiki Associate, Practitioner/Master or a Reiki Master Teacher.

Reiki Associate: R 300.00 per year

Reiki Practitioner/Master: R 500.00 per year

Reiki Master Teacher: R 750.00 per year

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* 2. Please complete the below information as you would like it to appear on the Reiki online Members Directory.

Name & Surname:

Physical Address:

Practice Name:

Practice Address:

City:

Province:

Contact Number:

Email Address:

Website:

Social Media Links:

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* 3. If you are not currently practicing or teaching, your details will not be loaded onto the online Members Directory. We will however keep your details on file to load you onto the Directory when you are ready to practice or teach.

Are you currently practicing or teaching?

Yes I am

No I am not

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* 4. Please select the modalities you practice and/or teach below that you are certified in. (I.e. You have a certificate for the qualification) :

	I PRACTICE	I TEACH
Usui Reiki	Usui Reiki I PRACTICE	Usui Reiki I TEACH
Karuna (R) Reiki	Karuna (R) Reiki I PRACTICE	Karuna (R) Reiki I TEACH
Lightarian (TM) Reiki	Lightarian (TM) Reiki I PRACTICE	Lightarian (TM) Reiki I TEACH
Egyptian Sekhem	Egyptian Sekhem I PRACTICE	Egyptian Sekhem I TEACH
Seichem	Seichem I PRACTICE	Seichem I TEACH
Access Bars	Access Bars I PRACTICE	Access Bars I TEACH
Body Talk	Body Talk I PRACTICE	Body Talk I TEACH
Colour Therapy	Colour Therapy I PRACTICE	Colour Therapy I TEACH
Counselling (Spiritual, Transformational etc)	Counselling (Spiritual, Transformational etc) I PRACTICE	Counselling (Spiritual, Transformational etc) I TEACH
Crystal Healing	Crystal Healing I PRACTICE	Crystal Healing I TEACH
EFT	EFT I PRACTICE	EFT I TEACH
Family Constellations	Family Constellations I PRACTICE	Family Constellations I TEACH
NLP	NLP I PRACTICE	NLP I TEACH
Numerology	Numerology I PRACTICE	Numerology I TEACH
Past Life Regression	Past Life Regression I PRACTICE	Past Life Regression I TEACH
Tarot	Tarot I PRACTICE	Tarot I TEACH
Theta Healing	Theta Healing I PRACTICE	Theta Healing I TEACH

Other (please specify)

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* 5. Please upload a headshot photo of yourself for the Reiki Members Directory

Minimum size of 600x600px and square

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 6. Please upload a copy of your ID or Passport. (This will be used for admin purposes only)

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 7. Please upload copies of your most advanced level certificate of every system of Reiki that you practice or teach, as well as all other modalities (Eg. Colour Therapy, Crystal Healing etc.) that you have certification for. This will be used to verify the details we load for you on the online Members Directory.
Should you have multiple certificates to upload (most advanced level only), please use the extra fields provided. If you have misplaced your certificates, or have more to upload than this form allows, please email us at membership@reikiguildsa.co.za to discuss an alternative.

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 8. Field 2

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 9. Field 3

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 10. Field 4

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 11. Field 5

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 12. Field 6

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

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* 13. Field 7

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.

25% of survey complete.