Reiki Class Organiser form



	Animal Reiki Treatment Form Name :... E-mail: .. Address Line 1:.... Line 2:.... Town:..... County:.. Post Code: Phone.... Mobile.... To help book your communication in please give the times that you are available. Animal Details How will you be sending the picture of your animal? By email By post. Name :... Type....... Breed..... Gender... Reason for Reiki Name :... Type....... Breed..... Gender... Reason for Reiki Name :... Type....... Breed..... Gender... Reason for Reiki Any Comments ? On submitting this form you will be directed to full instructions on how both treatments take place. James will be in contact to answer questions and arrange times. Thank you! All information collected by ACT will be stored and used in compliance with the Data Protection Act