Apply Here for Advanced 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 the Onsite Home & Family are you applying for

Fall
Spring
Not Sure

Please Check the section that work best for you. Onsite Classes are held at the American Botanical Council or a field location to see wild plants.

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, need to be up front to be able to read lips) *

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?

Did someone refer you to the school? of so who?

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

Application Fee for Advanced Wildflower School Programs

Description

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