*** Please print out this form for you to complete. *** 




PLANT MEDICINE APPRENTICESHIP MARCH, 2011 REGISTRATION FORM  








I am registering for: 

(Please check one)



Boston/Cambridge Course ______   Brattleboro, VT Course ______





NAME:

_________________________________________



ADDRESS:


_________________________________________



_________________________________________



_________________________________________




PHONE:

_________________________________________



CELL:


_________________________________________



EMAIL:

_________________________________________








TOTAL INTENDED PAYMENT:  ________________

(karmic sliding scale $1,500-$1,700 for 23 six hour classes)






AMOUNT OF TUITION SENT UPON REGISTRATION: ________________ 



PLEASE CHECK THOSE THAT APPLY:




(  ) I am sending my tuition payment in full. 
(If you pay in full, there is a discount of $150, sliding scale $1350- $1550). 



(  ) I have sent my deposit of $200. ($100 is non-refundable)



(  ) I have sent my deposit of $_______ plus $_______ of my tuition. 
 




*** Must initial to complete registration: 



(      ) I understand that the full tuition is due by the first apprenticeship class unless other payment plans or other arrangements have been made with permission.







* Make checks payable to The Gaia School of Healing.



    * Send completed registration form and payments to: 
The Gaia School of Healing, 373 Patch Rd., Putney, VT 05346


      Contact by phone or email: 617-838-8094, thegaiaschool@hotmail.com








The cost for the 9 1/2 month March, 2011 Apprenticeship is $1,500 - $1,700 (sliding scale) for 23 six hour classes. A $150 discount is given to those who pay in full. Monthly payment plans starting at $130 a month (after initial class deposit) are available. A $200 deposit ($100 is non-refundable) is required to register for the apprenticeship and is subtracted from the total tuition. Grants are available for Vermont students through VSAC. Full payment is due by the first apprenticeship class meeting unless a payment plan has been arranged in advance. Please feel free to contact Sage with any questions, at thegaiaschool@hotmail.com, or call 1-(617) 838-8094. 



Several past apprentices have volunteered to be contacted by prospective students about their experiences of the course. Let us know if you would be interested in speaking with them!









Please take the time to answer the questions below so that we can learn more about you.



How did you find out about the Gaia School?





What are your specific interests regarding plants, healing, and spiritual practice? 








What are you most looking forward to learning during this course? What are your desires and expectations?















What are some of your past experiences that have contributed to your interest in green medicine and earth-based living?
















Please take some time to tell Sage about yourself, and to ask her any questions that you have regarding this course. 


















We look forward to you joining us! 

Green Blessings,
The Gaia School







The Gaia School of Healing & Earth Education


c/o Sage L. Maurer


373 Patch Rd.


Putney, VT 05301



thegaiaschool@hotmail.com


617-838-8094