This form was created and is being processed using the free version of allForms, a web form service. If you find the page below to be suspicious or fraudulent, please
Australian Bush Correspondence Course. Participant information form.
Fields marked by * are required. When you have successfully submitted this form you will be directed back to the homepage.
1. Your Name: *
2. Your Address *
3. Country *
4. Phone Number (please include country and area code) *
5. Email *
6. Age group: under 20, 20 - 30, 31 - 40, 41 - 50, over 50 *
7. Please list any previous natural health studies *
8. Present occupation *
9. Have you attended any of the Australian Bush Workshops? If so which level(s)? *