2008 Online Registration Form

Southeast Women's Herbal Conference
October 3-5, 2008

Please fill in this form to register for the 2008 Southeast Women's Herbal Conference. The red dots indicate required fields.

First name   *  
Middle name    
Last name   *  
Name Suffix    
Company    
Street   *  
City   *  
State   *  
ZIP Code   *  
Phone   *  
Alternate Phone    
Email   *  
Emergency contact name *  
Emergency contact phone number *  
Known allergies and medical conditions  
How did you hear about the conference?   Postcard
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Previous attendee
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Website
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Conference Registration

Conference Registration
(includes camping) 		*   Registration ($260)

Minors' Registration

Minors' Registration   Infant (0-24 months) ($0, must be in parent care at all times)
(Childcare is full. Contact Fin with the email contact form to be placed on the waiting list.)
Young Women (11-17 years) ($165 covers meals, camping, and program)
The online registration form will only allow you to register one infant, child, or teen. If you need to register more than one, you need to fill out a paper registration form. For more details about these programs, click here.
Minors: Names and Ages  
Lodging for child or teen   Bed in cabin ($25)
Bed in bunkhouse ($35)
Camping, off-site, or bed in private cabin ($0)
For more details about lodging, click here.

Intensives

Amanda McQuade-Crawford: Gaiacology
($45) (Friday 2:30-6)   		  Amanda McQuade-Crawford: Gaiacology ($45) (Friday 2:30-6)
For more details, click here.
Patricia Howell: Healing with the Five Elements
($45) (Sunday 9-12:30) 		  Patricia Howell: Healing with the Five Elements ($45) (Sunday 9-12:30)
For more details, click here.
ALisa Starkweather: Awaken Your Power
($45) (Sunday 3-6:00, post-conference) 		  ALisa Starkweather: Awaken Your Power ($45) (Sunday 3-6:00, post-conference)
For more details, click here.

Weekend Indoor Lodging

Indoor Shared Lodging (optional)   Bed in a cabin ($25)
Bed in bunkhouse ($35)
For more details about lodging, click here.
Indoor Private Lodging (optional)   Private Cabin: sleeps 6-9 ($150)
For more details about lodging, click here.
Private Cabin/Lodge Party Name  

Meal Plan

Meals (optional)   Weekend meal ticket ($55)
Vegetarian weekend meal ticket ($55)
For more details about meals, click here.

Scholarship Donations

Scholarship donations   Meal ticket for one woman ($48)
Registration for a young woman ($120)
Registration for one woman ($220)
Registration and meal ticket for one woman ($268)
For more details about scholarships, click here.
For larger, named donations, see our Donor Form.
     

Press the button to confirm your registration.

  

 

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