Workshop Registration

Name

First Name

Last Name

Pronouns

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

What class are you registering for? Please list class name and month

Please briefly describe prior, if any, healing arts training you have

How would you like to pay for this course?

(once registration if approved you will be sent further payment instructions)

Mail in check

Hand deliver cash or check (locals can do this by arranging a meeting with naj)

Paying with an approved payment plan

Credit card

Venmo

Paypal

If paying with a pre-approved payment plan, please outline the plan below

Please list any circumstances that may affect your ability to participate, or might require special attention. This includes phyiscal limitations and differences, expected pregnancies, sight and hearing impairment, learning differences such as ADD, test anxity etc., and anything else we should know in order to be best prepared to guide you well

Please use this space to tell us anything else you would like to share

Please read wellness protocols and requirements below before checking these boxes

I have read, understand, and agree to your general wellness and specific COVID-19 protocols and requirements

I will be fully vaccinated and agree to wear a mask

Wellness Protocols & Requirements

For in-person workshops

naj/nephyr here. I take wellness seriously, which is why I have spent my life doing all I can to help people to feel well. It’s why I teach massage and the rest of the beautiful traditional medicine learnings we share around here. It’s also why I take COVID-19 and other transmissible pathogens very seriously and will do literally everything within my power to protect my students, myself, and my family from preventable disease spread. I want the most vulnerable of students to know that they are considered and cared for. Healing arts classes should not hurt anyone.

My committment to you
All live classes will have:

• Air purifiers with HEPA filters rated MERV13 (or equivalent)
• Excellent ventilation that is monitored with a C02 monitor where all can see it
• Far UV lighting at 222nm
(between purification, ventilation, and UV, I aim for well over 12ACH.)
• Air humidification - this does two things: helps airborne viruses to drop down, and supports healthy lining of the nose and throat, our first mechanical line of immune system defense against inhaled viruses.
• A supply of excellent N95 masks for those who need them
• A supply of COVID-19 lateral flow tests
• Hand and surface sanitizers will be plentiful in addition to herbs, magic spells, good manners and common decency

What I ask you to commit to

• Please only come to live classes if you are feeling well and have no reason to suspect that you may be sick or incubating sickness. If you do feel ill, reach out to me; we can chat about Thai medicine to help you to feel better.
• Use extra caution in the week leading up to class. Mask when out shopping, avoid indoor dining at restaurants and friend’s houses, skip the festival cuddle dome. Remember, we could have an immunocompromised person in class or living with someone in class.
• If flying or using other public transportation to come to class please wear an N95 mask or better elastomeric respirator while en route.
• Arrive wearing an N95 mask or respirator and maintain proper mask wearing throughout the course
• Test if asked to before coming and on-site (on-site tests will be provided)
• Make sure that you are fully up to date on COVID-19 vaccinations
• Come with kindness and compassion for all who are still doing what they can to protect themselves and others

If you have any questions or concerns about wellness protocols please write them in the extra text box of the registration form. I’m happy to go into the science of Far UV, explain what “12ACH” is about, or chat more about any of these topics.