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

GREEN WITCH APPRENTICESHIP FALL '07 REGISTRATION FORM


NAME:
_________________________________________

ADDRESS:
_________________________________________

_________________________________________

_________________________________________

PHONE:
_________________________________________

CELL:
_________________________________________

EMAIL:
_________________________________________


TOTAL INTENDED PAYMENT: ________________
(sliding scale $1,300-$1,500)

AMOUNT OF TUITION SENT UPON REGISTRATION: ________________

PLEASE CHECK THOSE THAT APPLY:

( ) I have sent my total intended tuition and deposit.

( ) 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 second 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 & Earth Education, 373 Patch Rd., Putney, VT 05301
Contact by phone or email: 617-838-8094, thegaiaschool@hotmail.com




The cost for the 9 Month Apprenticeship is $1,300-$1,500, depending on what you can afford. Please decide for yourself, honorably, how much you can pay, or contact Sage to discuss it further. A $200 deposit is required to hold your place in class and $100 of the deposit is non-refundable. The remaining balance will be due on the day the second class the course meets unless prior payment arrangements have been made with permission of the teacher. 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 with magic and medicine, if any?









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