Student Registration Form

STUDENT REGISTRATION FORM

CONGRATULATIONS You have been approved!
To take a training with the School Of Wisdom and we are very happy that you will be joining us.
It is time to register for this course so please go ahead complete and submit your registration form below.
When we receive it we will be in touch to collect your payment option, chosen in this form, and your registration fee.

Which Training Are You Registering for?*

First Name*

Please type the name you would like to see on your certificate.

Last Name*

Please type the name you would like to see on your certificate.

Phone Number*

Email Address*

Address*

Date Of Birth*

(Please type Month/Day/Year)

Emergency Contact First & Last Name*

Emergency Contact Phone Number*

Emergency Contact Relationship*

What Is Your Goal Once You Complete This Class?*

HAVE YOU READ OUR POLICY?*

YES I have and comply with it

TERMS OF PAYMENT*

By choosing one of these options you are entering into an agreement with Nibana's School Of Wisdom to pay the option amount(s) through the term of this training.

Ascension Reiki Neophyte Level Certification: Payment of $250 + $150 non-refundable depositReiki Seva Level Certification: Payment $350 = $150 non-refundable depositReiki Satori Level Certification: Payment $450 + $150 non-refundable depositHolistic Health & Wellness Training (HHWT): Registration Fee $200 non-refundable & Monthly $244 payments

REGISTRATION AGREEMENT*

YES, I agree, and I confirm that I have read Nibana's Policy and that I am fully vaccinated, and I understand that, because this training is held in a closed environment that may involve touch & close physical proximity over an extended period of time, this can lead to an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved from taking this training with Nibana's School Of Wisdom and I voluntarily agree to assume those risks, and I release and hold harmless Nibana Salt & Wellness & the School Of Wisdom and their Team Members as well as visiting Teachers from any claims related thereto. Nibana Salt & Wellness will not be responsible for any damage, theft, or loss of any personal items a client brings into the wellness center. We do not have lockers so leaving personal belongings will be at your own risk.

YES I agree to all terms of this agreement as shown above

Date*

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Hello and thank you for submitting your registration form. You will soon be starting on your new wisdom journey here with us at Nibana's School Of Wisdom. We will be in touch shortly to receive payment for this course. Look forward to talking with you soon. Sending much Love n'Light, Nicky