Registration Form
From Fertile Ground: a different kind of fertility program

Dates: Friday, August 20, 5-8pm • Saturday, August 21, 9am-5pm • Sunday, August 22, 9am-3pm
Thursdays, 6-7:30pm (September 2, 16 & 30) *These sessions will be follow ups to review fertility charts & continuing on our work together.

This course will be over Zoom ($75 money back if we are on Zoom) or at 10 ave des Pins West, Montreal (depending on COVID restrictions). Links will be sent out over email upon first payment and registration completed

COST

$625* (or $525 for folks who are not local and cannot receive individual Arvigo® Therapy session)
Early Bird Registration: $550*
One full and one half Scholarship places for BIPOC folks (Black Indigenous People of Colour)
*(includes individual 1.5 hour Arvigo® Therapy session (value: $150))
Payment methods: INTERAC etransfer to health@tigerlotuscoop.com, cash or cheque
Must pay first half upon registration.

GIFTS

Basic Fertility Manual & Course book, From Fertile Ground: DIY improving our fertility (value: $30)
Organic Castor oil (value: $15)
Castor Oil Pack (value: $10)
Custom blend of vaginal steam herbs, hand selected for each participant (value: $15)
*Address required to mail packages out to participants. Participants living outside of Quebec are required to cover shipping costs

You will need a thermometer to participate in the fertility charting aspect of this course.

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Email *
Please fill out your name and mailing address *
Email: *
Phone Number:
Preferred pronouns? (for eg. she/her, they/them, etc.)
Do you identify as BIPOC (Black Indigenous People of Colour) and would like to request one of the scholarship spots? (***there is a half scholarship spot left = half of full price $475, $237.50)
Please share about your fertility journey: *
Why would you like to participate in this course? *
Do you have any special needs I should be aware of?
Anything else relevant you would like to share?
A copy of your responses will be emailed to the address you provided.
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