Food As Medicine Registration Form


Name:

Address:

Phone:

Email:


Choose entire course or individual classes as desired.

___ Entire course

___ Week 1: Kefir, non-dairy Kefir, Kombucha
___ Week 2: Gluten-Free Sourdough Bread, muffins and pancakes
___ Week 3: Detoxifying, Raw Food, and Winter Food

Payment

___ entire course at $220
___ classes at $75 each = $ ____

Send check made payable to Sharon A. Kane, 18 Cedar Hill Road, Ashland MA, 01721


Briefly describe your current diet and health situation: