Sacred Plant Traditions Registration Form
Please Print and send via post to address listed below


Name: ________________________________________________________________

Address: ______________________________________________________________

City: ___________________________________ State: ______ Zip: _____________

Phone#___________________ Work_______________ Email__________________

All deposits are NON-TRANSFERABLE AND NON-REFUNDABLE

Class Title Deposit Cost Pls specify date
Foundations 2008-09 $250 $2800 ______________

Nine Month Weekend Course

$250 $2100 ______________
Clinic I - Therapeutics and Practice $250 $3700 ______________
Clinic II -Advanced Clinic $250 $4000 ______________
Six Week Intro to Herbal Healing $50 $200 ______________
One Day Classes (specify classes)
__________________________________________		 $30 each

(variable)

 ______________
One Day Classes (specify classes)__________________________________________     ______________
Phyllis Light Circle One: July Nov $50 $295 ______________
Both Weekends
$100 $550 ______________
Gaia Gathering for Women $50 $175 ______________
    TOTAL ______________
Please send the above information along with the deposit amount listed for each class you will attend to:

Sacred Plant Traditions
P.O. Box 1313
Charlottesville, VA 22902

Please make check payable to Sacred Plant Traditions

___I would like to receive a monthly e-newsletter

To register for any program in Three Year Community Program an interview is required.

All deposits are NON-TRANSFERABLE AND NON-REFUNDABLE

For more information call 434.295.3820 or email info@sacredplanttraditions.com