Life Force Alignment™ Practitioner Certification Registration

Life Force Alignment™ Practitioner Certification Registration for Training Running May 8 – June 5, 2027. After submitting this form, please email Kyra Marino @ kyra@revolution.yoga to let her know.

Name

First

Last

Phone Number

Address (Street # & Street Name)

City, State, ZIP

Emergency Contact (Name & phone)

Which program option are you signing up for? (IMPORTANT: your spot is not reserved until full payment has been received – registering without payment does not hold your place.)

OPTION 1: 20-Hour Life Force Alignment™ Practitioner Certification Program (includes Wellness With Care Reiki 1 Certification); Early Bird: $999 through April 8, 2027 Regular: $1,100 after April 8, 2027
OPTION 2: 15-Hour Life Force Alignment™ Practitioner Certification Program Early Bird: $749 through April 8, 2027 Regular: $849 after April 8, 2027 For Graduates of Wellness With Care Reiki Level I

Have you already taken the Wellness With Care Reiki Level I Certification Training?

Which method of payment will you use?

Zelle – the Revolution Zelle account can be found under my email kyra@revolution.yoga (the company is listed as Happy Bodhi Yoga LLC). Zelle tag: revolutioncommunityyoga
Check – Checks can be made out to Revolution Community Yoga and mailed to Revolution Community Yoga, ATTN: Kyra Marino, 537 Massachusetts Avenue, Acton, MA 01720

IMPORTANT: Do you understand that your spot in the training is not reserved until full payment has been received? Registering without full payment does not hold your place.

Yes – I understand that my spot in the training is not reserved until full payment has been received.

How did you hear about this training program?

Comments / Questions:

I understand that upon registration, participants who select Option 1 will receive a digital Reiki Level 1 training manual. Please note that $250 of the Option 1 program fee, which covers the Wellness With Care Reiki Level 1 Certification training, is non-refundable and non-transferable.

Yes I understand and agree to this policy
This does not apply to my registration

After submitting this form, please email Kyra Marino @ kyra@revolution.yoga to let her know.