Name

First Name

Last Name

Date of Birth

YYYY

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Pronouns

How did you hear about this program?

Do you wish to take the course in-person or online

Online participants will have access to the live sessions through a video feed and chat for interacting with the class.

What do you hope to learn from this program?

Please describe any experience and/or training in herbal medicine

What herbalists or types of herbalism work are you inspired by?

Feel free to share any related skills in healthcare or community support if any?

Do you have any specific accessibility needs we should be aware of?

To provide an inclusive space, it can be helpful for us to know if you belong to a marginalized group, such as being trans, gender non-conforming, Black, Indigenous or a Person of Colour. Providing this information is entirely optional and can be entered here.

How would you like to pay?

Tuition is $4100 + HST ($3700 before the early bird deadline on January 30th). You can pay in a lump sum or with a payment plan. If you require tuition assistance, scroll to the top of this page for a link to the tuition assistance application. Lump sum payments can be made via e-transfer, check, or credit card. Payment plans need to be setup with a credit card. Please note, credit card transactions have an added 3% processing fee from the credit card company. Please pay your $250 deposit right away, and we will be in touch to arrange payment of the balance.

I have read and understand the refund policy below.

If you attend the first weekend and realize this program is not for you, you can request an 80% refund. After the first weekend though, we do not offer refunds.

Yes

I am e-transfering the non-refundable $250 deposit to oren@orenhercz.ca

Arranging for cash payment, credit card, or mailing a cheque is also acceptable. Please get in touch for these options. Also, if you are applying for a tuition assistance, and we cannot accommodate it, this is one situation where your deposit can be refunded.

Yes

Maritime School of Holistic Herbalism

2025-2026 Intermediate Program Registration

Thank you for joining us in the program!

A non-refundable $250 deposit is also required with your registration to secure your spot, and this can be sent via e-transfer to oren@orenhercz.ca.

If you would like to apply for tuition assistance, you can submit an application here.

Also please note, as part of the registration process we will be scheduling a short interview with you during January-March 2025.