Wandering Earth Herbals Workshop Registration Form
Hello! I'm so excited that you've chosen to attend a class or workshop with me to learn all about herbal healing and health. Please answer the following questions and click the link (or copy & paste) in this description to pay the registration fees. Registration will not be complete until both the form has been completed and payment has been received. Most classes have a size limitation of between 8 and 12 people depending on the class so please be sure to register early to guarantee your spot. The cost of each class is listed below. Thank you so much and I can't wait for you to join us!

Please click this link to make your registration payments (or copy and paste in a new tab): https://paypal.me/Fitzgerald427?locale.x=en_US

Student's Name(s) *
Your answer
Parent/Guardian Name (If registering a child) *
Your answer
Age(s) (If registering for a kids class)
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
Class/Workshop Registering For:
Adult Classes Registering For
Food allergies/Dietary Restrictions
Your answer
Emergency contact name, phone number & relationship (Please list 2). *
Your answer
Some things that we may sample or make in a class or workshop contain alcohol. The sample dosage is 1-3 drops and is not typically a cause for concern for a person of any age or constitution. However, if you would like to avoid any of these things that contain alcohol, please check the box below so I can know in advance and have an alternative prepared, if possible. (Please note that an alternative is not always possible for every item). A second option of burning off the alcohol immediately before may be an option but with such small sample doses as with a tincture, it may not work. It may be possible with herbal syrups though. *
Required
By checking this box I understand that the person who runs these classes and workshops (Kim Fitzgerald) is not a Doctor. I understand that the information given in these classes/workshops is for educational purposes only and is not meant to treat, diagnose or cure any disease. I also understand I am under no obligation to sample anything and I do so at my own risk. While nothing in any of these classes/workshops is inherently toxic or in any way dangerous to the vast majority of people or animals, there is nothing on this planet that is 100% safe for everybody and as an individual, we all react to things differently. *
Required
I have clicked the payment link at the top of the page and completed payment for all workshops I have chosen or have contacted the instructor and made alternate payment arrangements. I understand registration is not complete until payment has been received. *
Required
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