Homo-Intensive Herbal Studies
August 29 - September 1, 2019
Middle Tennessee Gayborhood

This is the 2019 application for the Queer and Trans weekend herbal intensive- exploring health, resilience and the plant world. Please fill out this form as best as you can. If you need assistance filling out the application, please contact us wildvioletunderground@gmail.com. We will follow up with you via phone or email after your application has been processed.

Personal Information
Name *
Your answer
Pronoun
Your answer
Phone Number
Your answer
Email
Your answer
Where will you be coming from?
Your answer
Do you have any accessibility needs? please describe
Your answer
Emergency Contact Information
Name of Emergency Contact
Your answer
Relationship
Your answer
Phone Number of Emergency Contact *
Your answer
About You
What would you like us to know about you?
Your answer
What are your interests in Herbal Medicine?
Your answer
What excites you about this class?
Your answer
How did you learn about the program?
Your answer
Have you studied herbs? Where and When? What was your experience like? How could it have been better?
Your answer
Medical History
This section is optional. We ask this information to be able to meet people's needs throughout the weekend.
How would you evaluate your current health?
Are there any Health Issues you think we should be aware of?
Your answer
Do you take any life saving medications that we should know about? please list
Your answer
Do you have any allergies?
Your answer
Logistics
Dietary restrictions *
Required
Camping *
Required
Cost
The cost of this course is negotiable and is offered on a sliding scale... We ask that you intentionally consider many factors including:
-the cost of other similar herbal courses (ie: a similar herbal course in middle TN ran $300)
-your class background and your means to accessing money/resources whether it be personal, family finances, supportive friends, supportive johns, online fundraising, flying a sign (gay oogles definitely welcomed), throwing a bake sale, or whatever your hustle is
-those who can afford to pay more, make this sliding scale option sustainable for us as teachers and organizers and as a direct result are making this course accessible to others who can't pay as much (teachers & organizers front their own money to make this event happen)
-tuition will go towards paying travel costs of teachers/organizers, use of spaces/propane, food, supplies/logistics, medicine making material and if there is left over, we would like to compensate teachers/organizers for their time.
-no one will be turned away for a lack of funds (but it's better if you bring something to trade)
-scholarship opportunities are available. Email wildvioletunderground@gmail.com with questions.

We want people to pay what you feel this program is worth to you or what you can afford. Please keep in mind that breakfast and dinner will be cooked and provided to you. We are suggesting $300 and we would never turn anyone away for lack of funds.

How much do you think you will be able to contribute?
Your answer
What method of payment works best for you?
Thank you
We will follow up with you by phone or email.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service