Mentorship Intake Form

Apply to join the Folk Herbalism Mentorship.

Registration form for 2027.

Five weekends over 5 months of mentorship.

Markdale, Ontario.

Please read the terms and conditions link.

They can be found by clicking here

Once you apply you will receive an email to book a

10-15 minute phone call.

First name

Last name

Phone

How did you hear about the Gaia Hive?

Why are you interested in joining the Year One Mentorship? What do you hope to gain?

Do you have any experience with herbalism and or making medicines?

How do you feel about being in groups?

Do you have any allergy food or other? Mobility needs? Are you allergic to cats?

Are you currently on any medications? Do you have a history of any mental health issues that we need to be aware of?

Home Address

Date of birth

Emergency Contact

Do you want to camp or sleep in the communal sleeping area in the yurt? Will you sleep off site? Please let us know your prefence.

Have you read the terms and conditions?

Please upload a clear foto of yourself.

Is there anything else you want us to know?

Which payment do you choose? Low Income: $3499 plus hst or Regular Price: (Gainfully employed/) $4100 plus hst