Flora Interspectra Registration
Please fill out the entire application.
Registration Exchange is due upon application. We will send you information on how to send payment.
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" -- We 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.
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.
Flora Interspectra Team
Class you are applying for
Full Day, Saturday June 9, 2019
8-Week Series, Fall 2019, DATES TBA
FULL NAME First, Last
Phone Number #
Date of Birth
Emergency Contact Info Name, Relationship, Phone #
Do you have any medical or accessibility needs that we need to know?
For the purposes of creating a safe space for the group, in what ways do you self-identify that you'd like to specifically and explicitly let us know?
What is your background, if any in herbalism and/or natural-dyeing?
For a portion of certain class/es we will be cooking/eating- do you have any know food/plant allergies or food restrictions/needs? Please list, if so.
Anything else we should know about you?
How did you hear about the class?
Any questions for us?
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