Butterfly Course Home Schedule Leaders FAQ Registration If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required How many person(s) are you registering on this form including yourself? (We will ask for their names later). Primary Registrant's Name * Primary Registrant's Email * Primary Phone * Secondary Phone Address * City * State * Zip / Post Code * Please check off any and all of the following food groups that you are able and willing to eat. Please note, whenever possible the eggs and meat we serve are locally pasture-raised: VegetablesFruitEggsDairy ProductsFishPoultryBeefPorkWheatNon-Gluten GrainsNutsSugar in moderationHoney Other allergies or food preferences? Please describe. We will let you know how best we can accomodate. List the names of everyone you are registering, followed by their email, so that we may provide each registrant emailed confirmation materials. Total Due: How will you be paying? CheckCredit Card Questions or Comments: After submitting, you will be directed to the payment page.