Apply Here for Onsite Programs – Wildflower School of Botanical Medicine

Description

Payment to process your application. Nonrefundable. Good for one year. Please make sure to fill out the associated form that should be located below the fee here before you leave the site!

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First Name

Last Name

Email^*

Phone Number

Which Section of Home & Family are you applying for

Fall 2019 Sunday Afternoon 2-5PM 12wks
Winter 2020 1 Saturday a month Jan-June 6 months
Thursday Evening Winter 2020 12 weeks
Not Sure

Please Check the section that work best for you. Classes are held at the American Botanical Council in Central East Austin

Mailing Address

Date of Birth

Emergency Contact Name and Number

Any applicable training prior to this program?

What do you plan to do with the training?

Do you have any personal expectations of this program?

Do you have any special needs (allergies, differently-abled) *

Please make sure to note that parts of the programs are extremely non-conventional in terms of setting. Outdoor sections may include 1mile or more walking on trails in heated conditions, and not being able to see or hear the teacher easily at times. Please let us know if you have any reasons that you may not be able to hike or able to participate in non-traditional learning settings. We want to make sure we are a good fit for your needs.

Please provide us with two references with names and phone numbers

All of the information above is correct and accurate to the best of my knowledge.

I understand that this is a nonrefundable deposit to hold my place in classes.  After doing so, I understand I need to pay off my program before the class starts. Everything on this form is accurate to the best of my knowledge.

Do you plant to move on to other programs at the school?

Would you like information on upcoming rentals at the Farm the school runs

Yes! tell me about upcoming room rental options

We have a limited amount of room rentals available at Big Moon. They consist of 2 rooms in the main house that is used for classes every month, and a private 1 bedroom apartment.

Do you want to receive infrequent updates on classes and events?

Application Fee for Wildflower School Programs

Description

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