Flower Essence Workshop Registration Form
For our class at Gaia’s Garden on Sunday, November 17th • 11am-1pm • $55/person
Name
*
First Name
Last Name
E-mail
*
example@example.com
Mobile Number
*
Do you currently have any experience with Flower Essences?
*
Please Select
Yes, I have experience crafting essences & taking/using essences
Yes, I have experience taking/using essences
No, flower essences are new to me
Do you prefer glycerin or alcohol for preserving a flower essence?
*
Please Select
Alcohol (brandy)
Glycerin
No preference
If you are an herbal/naturopathic practitioner, please share a bit about your background and/or current practice.
How did you hear about the workshop?
*
Please Select
Caroline’s Website (A Stone Was Shown)
Word of Mouth
Friend/Family Referral
Social Media
Conscious City Guide
Additional Comments/Questions
My Products
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Flower Essence Workshop Ticket
Entry for 1 student. Refunds available up to 3 days before the event & no later. Payment can also be accepted in-person. Please submit the form either way!
$
55.00
Quantity
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Payment Methods
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First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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