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


Name: ________________________________________________________________

Address: ______________________________________________________________

City: ___________________________________ State: ______ Zip: _____________

Phone#___________________ Work_______________ Email__________________

PLEASE NOTE: All deposits are NON-TRANSFERABLE AND NON-REFUNDABLE
Class Title Deposit Cost Pls specify date
Foundations 2012 Weekend Program $250 $2100 ______________
Foundations 2012-13 Day Program $250 $2100 ______________
Clinic I $500 $4000 ______________
Clinic II $500 $2800 ______________
Six Week Intro to Herbal Healing $50 $250 ______________
One Day Classes:
Designing an Herb Garden
Kitchen Apothecary
Digestive Wellness
The Art of Fermentation


$30
$30
$30
$30


$75
$75
$75
$75


______________
______________
______________
______________
Phyllis Light Intensive:
March 30 - April 1 (all 3 days):
March 31 - April 1 (2 days only):
July 27 - 29 (all 3 days):
July 28 - 29 (2 days only):
$75
$50
$75
$50
$395
$295
$395
$295
______________
______________
______________
______________

6th Annual Gaia Gathering for Women:
Child Registration (age 3 - 18)

$50
$50

 $275
$95		 ______________
______________
    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 Two 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