Foundations of Herbalism Program
Registration Form

Name*

Email*

Phone*

Street Address/P.O. Box*

City

State
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Zip Code*

Date of Birth

Choose your program option and payment details

What program option would you like to enroll in? Learn more about our program information. Full AccessOn-Demand

Please Tell Us a Little About Yourself

How did you hear about this program?

Have you studied herbalism before? If so, with whom? Where? (If not, that's fine!)

Tell us about any herb books you refer to for herbal advice

Do you currently use herbs for your own health care? Tell us about some of your experiences using herbal remedies.

How do hope to use the information you will receive in this program?

Do you have any training in other healing modalities (medical license, massage therapist, acupuncturist, etc.)?

Is there anything else you would like us to know about you before you submit your registration?

After you complete this application you must submit payment for the program. When you click the button "Submit & Pay" below you will be redirected to a payment page. If there is no deposit paid for the program, the application is considered incomplete. Thank you for the support!