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Zen Tiger Healing - Client Waiver

First name*

Last name*

Email*

Phone*

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

Emergency contact name*

Emergency contact phone*

Have you ever had Reiki before?*

If yes, when was your last session?

Do you have any allergies or sensitivities that I should be aware of?

I understand and comply with the Reiki Consent Acknowledgement form listed in the link below:

Reiki Consent Acknowledgement

Zen Tiger Healing

zentigerhealing@gmail.com • 615-854-8703 • Nashville, TN

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