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Detox Home Registration Form

Experience the True Power of Alkaline Herbal Therapy With Master Herbalist Yah'ki

DETOXIFICATION HOME

Yah'ki Awakened Detoxification Home

Detox Home Booking & Registration Request

REGISTRATION

Complete the pre-registration form below. Download the membership forms, read and sign them, then scan and upload them here. If the dates you’ve selected are not available, we will contact you to schedule an alternate week.

You must register using a laptop or computer. A mobile device may not allow you to download and submit the required forms.

Download Registration Forms
17%

Enter the order number you received after purchasing your Detox Home Package

PERSONAL INFORMATION

DETOX HOME PREFERENCES

One week minimum stay

Select the FIRST DAY of the visit you wish to book. Booking requests cannot be earlier than two weeks from today's date.

The purpose of your visit as a Private Club Member of Yahki Awakened Eye of Lotus Botanical Health Club Member is for restoration, regeneration, and rejuvenation of mind body and spirit on an atomic and cellular level. Are there any other concerns you would like to address during your time at the Yahki Detoxification Home? If so, please explain below.
PLEASE NOTE: Guest of clients are subject to all rules and expectations of the Yah'ki Detoxification Home. Any guest who violates any of the said rules will be asked to leave. If you should bring a guest be sure that your guest will be a supportive, positive influence for you during your detoxification process.

ACKNOWLEDGMENTS


By selecting "I agree", I acknowledge that everything presented in this application is true to the best of my knowledge and I have thoroughly read all of the required forms and have signed them with a valid signature, that the ID I submitted is my valid state ID, that I agree to the terms listed in the terms of service and membership contract, and I understand that there is no refund policy for this service I am requesting.

SIGNED FORMS

Upload each of the signed forms you downloaded above and a copy or image of your valid State ID here.

Because you are bringing a guest, please upload both your ID and your guest's ID (except children)

Yah'ki Awakened Home Detox Registration Agreement, Yah'ki Awakened Club Membership Contract, AND Yah'ki Awakened Club Terms of Service

Signatures

ALL HERBS ARE ORGANIC ALKALINE BOTANICALS AND ARE NATURALLY WILDCRAFTED FROM THE LAND OF THEIR ORIGIN

All herbs used in our products are 100% naturally organic and are selectively picked and tested by a laboratory before use. Each herbal compound is personally prepared with gratification for the purpose of restoring health to our clients.

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Operating Hours

Mon - Fri9:00 AM - 4:00 PM CST

Closed on Shabbat and All Holy Days

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About Us

Peace, Love, and Light Family! Welcome to Yah'ki Awakened LLC, where Peace, Health, Energy and Awareness is always first priority.

Contact Us

This website is intended for the sole use of Health Club Members. All benefits and advantages of this Private Membership Association (“Health Club”) are not available for use by anyone except Members of our Private Membership Association in the Private Domain. Use of any part of this website by non-members in the Public Domain is strictly prohibited.

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  • 3533 Dunn Rd. Ste. 224-226 St Louis, MO 63033

Copyright © 2022 Yah'ki Awakened, LLC. All Rights Reserved.

Website Design by RaeGrafix Designs

Information

Support

Operating Hours

Mon - Fri9:00 AM - 4:00 PM CST

Closed on Shabbat and All Holy Days

Copyright © 2022 Yah'ki Awakened, LLC. All Rights Reserved.

Website Design by RaeGrafix Designs