Application for Full 145 hour Herbal Program
Name________________________________________Phone_____________________
Address______________________________________City, State Zip______________
Email________________________________________DOB______________________
Emergency
Contact_______________________________________________________
Favorite Plants(up to 5)
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Applicable Training Since High School / Dates / Degrees
and/or Training
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Applicable Professional/Job/Project History
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Previous Health/Medical/Healing Work
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Special areas of interest in Herbal
Medicine?
________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have any special needs(allergies,
disabilities)?
________________________________________________________________________________________________________________________________________________
What do you plan on doing with this training?
________________________________________________________________________________________________________________________________________________How to Apply: Please fill out above registration form. Send it with your $250 deposit, to Nicole Telkes/Wild flower School 1608 Greenwood Ave Austin TX 78721
Payment Information: Those registering for the full 145 hour Botanical Medicine
Program, complete application and mail it with your deposit to hold your space
for the 145 hour 2006-2007 Herbal Medicine Program by September 1, 2006. The
cost for the entire program if early-registered by September 1 is $1195.
The cost for the entire program if registered after September 1 is
$1295. Payments are due the first day
of class. Payment plans are available
for a small additional fee, and credit card payments are accepted through
Paypal.
About the classes: The program “makes” once 5 people have registered. If it does not
make, individual intensives are still available, but your deposit for the
program will be refunded. The program will close at 15 people. Please
let me know if you need a receipt or some sort of transcript. You can apply
these classes to American Herbalist Guild Requirements. Make sure to
keep careful records. Professional membership standards require 1500
hours of study in Herbal Medicine.
Classes are held at ROOTS
Healing Center 1805 South Congress or at an offsite outdoor location that
is announced.
Payment Programs and Work Trades: Payment programs for intensives are agreed upon prior
to class in written contract form. They usually consist of paying off the
class in one, two, or three months, and in some special cases even
longer. This option does cost a bit more so ask for details. There is one
work trade position. The position offers up to 20% off the price of the
class in exchange for a certain number of agreed upon hours in my
apothecary. This position is also agreed to in written contract form prior
to class. If you do not complete your work trade by the end of the program,
you will be asked to remit payment for the rest of the amount owed.
Make-up Classes for Intensives: You have two options when doing makeup, you can either
have me give the class to you personally for a fee, of you can wait until I
teach it again and you can attend it the next time around for no fee.
Withdrawing from Program: If you need to
withdraw from the program, full deposits are refundable up to 1 month prior
to class, after that time, a small administrative fee of $50 is charged two
weeks before class and $100 1 week prior to class. If you withdraw
at anytime after class starts, individual classes at rate of $15 per hour
of class are charged, an administrative fee of $50 is charges, and anything
that has been paid over that amount refunded up halfway(75 hours) through
the program. If you need to withcdraw after this time, you
will receive 50% back of whatever is left over after these standard charges
and if you withdraw after 100 hours of the program, refunds are determined
on a case by case basis. If you withdraw. Please make all checks payable to
the
Other class and apprenticeship opportunities will be available throughout the year and announced on email. Please contact me with any questions
512-426-3113
texasherbalist@yahoo.com
www.wildflowerschool.com
1608 Greenwood Ave
I have read the above information and agree with it
____________________________________________ _________________________
Signature of Student Date
_____________________________________________
Printed Name