NAME:
ADDRESS:
_________________________________________
_________________________________________
_________________________________________
_________________________________________
PHONE:
_________________________________________
EMAIL:
_________________________________________
PLEASE WRITE THE WORKSHOP/S YOU WOULD LIKE TO ATTEND
(1) _________________________________________
(2) _________________________________________
(3) _________________________________________
CHECK THOSE THAT APPLY:
  ( ) I have sent in a donation via check with this form for the workshop/s I would like to attend.
  ( ) I will send my donation via paypal. http://thegreenwoman.com/paypal.html
* Make checks payable to The Gaia School of Healing
* Send completed registration form and donation to: The Gaia School, 172 Pine Banks Rd., Putney, VT 05346
617/838-8094;
thegaiaschool@gmail.com