Philippine Folk & Herbal Medicine
Please fill out entire application.

*If you are a returning student from an Intro class- please fill out Name and only information that needs to be updated. Type "N/A" for questions that don't need to be updated.

FOR INTENSIVES, full exchange required to save your space in the class.
FOR FULL SERIES CLASSES, deposit of $100 is required to save your space in the class.

If the class you signed up for becomes full- we will add you to the waitlist in the order you submit your application.

Once you have filled out the application and pressed "SUBMIT" -- I will email you a confirmation notice and payment info within 1 week.

Full Payment Refund only- 1 month before course or you can find someone else to replace your space.
Full Deposit Refund 2 weeks before course or if you can find someone else to replace your space.
No other refunds will be given if you cancel after then. You may always use your payment/deposit for credit for future classes or one-one healing sessions.

Thank You,


Email address *
Class you are applying for *
FULL NAME First, Last *
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Phone Number # *
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Age *
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Email Address *
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Emergency Contact Info Name, Relationship, Phone # *
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Mailing Address (Home) Address, City, State, Zip
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Do you have any medical or accessibility needs that we need to know? *
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Prefered gender pronoun
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Racial/cultural/ethnic background
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For the purposes of creating a safe space for the group, in what other ways do you self-identify that you'd like to specifically and explicitly let us know?
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What is your background, if any, in holistic medicine, herbalism, and/or ancestral medicine?
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What is your intention for this class or what do you hope to achieve?
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For a portion of certain classes we will be cooking/eating- do you have any know food/plant allergies or food restrictions/needs? Please list, if so.
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Anything else we should know about you?
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How did you hear about the class?
Any questions for us?
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