Energy Healing Room

Forms

Please complete the online Membership form and the Liability Waiver and Release Form below prior to booking your first appointment. These are Required Forms.

Please arrive at least 20 minutes early for your first appointment to meet staff and sign in.

Private Membership Form

  • Free
  • Required for all bookings. Only need to complete one time.

Private Membership Terms and Conditions

Name
Last Name
Email
Street Address
Street Address Line 2
City
State
Zip Code
Phone
Additional Info

PRIVATE LICENSE, INFORMED CONSENT AND RELEASE

Required for first appointment only. Please complete on-line form below, check box that you are in agreement and sign prior to your first appointment.

Full Name*
Email*