Herbal Apprenticeship Introductory Information

Name:*
Address:*
Phone Number:*
Email:*
Do you have any known sensitivities or allergies to herbs? If so, please explain:
How did you hear about this program?:
Do you have any prior experience working with herbs medicinally? If so, please explain:
Do you have any prior experience working with growing herbs? Please describe:
Do you have any areas of special interest with herbs? Please describe:
Do you have any physical limitations or health concerns that may interfere or are of concern with gardening work?:
Name
This field is for validation purposes and should be left unchanged.