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 School Of Botanical Medicine
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2019 Botanical Medicine Program - Registration

Early Bird Registration Payment US: $3,750.00 (includes a $400.00 non-refundable fee)

Registration Instructions:
Step 1:

Fill out the form below and press the Submit button at the bottom of this page.

Step 2: After submitting, pay by credit card using the payment button on the Payment Page.

Important:

Please read both the payment summary and the refund policy carefully before you apply. If you have questions about the program, please call us before you apply and we will be happy to discuss the program with you to make sure it fits your needs. Do not apply for this program unless you are confident that you can attend all the scheduled classes.

Refund Policies:

  • All registrations are subject to a $400.00 non-refundable fee.
  • No refunds are made after March 31, 2019.
  • Students who are on a payment schedule must complete their full payment - regardless of attendance.
  • There are no exceptions to our refund policy.
*I have read the payment and refund policies and agree to the terms of both:

YES

Step 1:

The following is required:*

*Full Name (first & last):
*E-Mail:
*Street Address:
*City:
*State:
*Zip Code:
*Home Phone:
Work Phone:
Cell Phone:

Also please fill out the following:  
Information About This Form
 

Training Since High School: (Please include any licenses or certificates including, massage therapist, acupuncture etc.)

1. Institution; Dates Attended; Degree/Certificate (if any):
2. Institution; Dates Attended; Degree/Certificate (if any):
3. Institution; Dates Attended; Degree/Certificate (if any):

Education - What is your highest level of education?:








*Date of High School Graduation:

If you have attended College, please list your field of study:


Professional/Job/Life Experience History:

1. * Your current employment. Date; History:

2. Date; History:


Some Questions:

 
*1. How did you become interested in Herbal Medicine?


*2. How long have you been studying about herbs?


*3. Have you studied with any other Herbalists?
     If yes, please tell us about your prior studies.


*4. Why did you decide to enroll in this Herbal Program?


*5. What are you hoping to accomplish by the end of the
      program?


*6. Having looked at the dates of the program, will you be able to attend all the classes?




*7. Where will you be staying during the Herbal Bear Weekends? We have limited indoor lodging, please contact us to confirm availability. If you are staying at the Herbal Bear facility - we will bill you separately for the lodging space after your registration has been approved.





*8. How do you plan to come to the Herbal Bear Catskill Facility?




*9. Are you considering applying for our work study program (which can reduce the cost of the program by up to $600.00) Please see our requirements for work/study here.




*10. Are you making:




11. Any other comments?


 
 
 
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