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Academy Enrollment Form

  • Please provide your complete name that you want on your graduation certificate, as well as any professional credentials such as RN, RD, or Ph.D, that you may already have. If you change your name prior to your class, please let us know immediately. We make the certificates as soon as the class is filled and we need everyone's correct name.
  • If an individual referred you please list name so we can thank them.
  • Please note that YOU MUST BE A DIETARY VEGAN -- NO MEAT, FOWL, FISH, EGGS OR DAIRY PRODUCTS -- TO BE ACCEPTED INTO THIS PROGRAM. If you are still transitioning away from non-vegan clothing, etc., this is not a problem.
  • My digital signature above confirms that: (1) I am a dietary vegan. (2) If some emergency keeps you from attending, you are entitled to a refund minus a $150 processing fee if you let us know within 14 days of the start of the course. With less than 14 days notice, the processing fee goes up to $350. There are no refunds once the course has begun, although you can move your start date to the following class. If there has been a tuition increase, it will not apply to you. (3) I understand that Main Street Vegan Academy makes no guarantee to any student that he or she will be able to turn the certification that results from this course into a successful business or side business, although some graduates have done this. (4) Main Street Vegan Academy certification does not qualify me to diagnose or treat any mental or physical malady via dietary or other means. I understand that this is not a medical or allied health training program and unless I am otherwise duly licensed as an MD, DO, RN, RD, or other recognized professional, I cannot attempt or promise to address any illness. If any person under the care of a physician or on taking any medication comes to me for Vegan Lifestyle Coaching, I will require the knowledge and sanction of this person's physician before talking with him/her about any dietary changes.

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