Registration - Social Permaculture - March 29 - April 2, 2017
EARTH ACTIVIST TRAINING
Group Leadership and Empowerment: Training in Social Permaculture
Wednesday, March 29, 2017 - Sunday, April 2, 2017

Black Mountain Preserve
23125 Fort Ross Rd.
Cazadero, California 95421
Phone: 800-381-7940
For more information, please visit the course page: http://earthactivisttraining.org/social-permaculture-spring-2017/
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Cost:  $725-$875 sliding scale. *
The cost to attend the Social Permaculture Intensive is $725-$875 sliding scale. Please select the amount of tuition you are able to pay for this course (there will be an option to just pay a deposit later on in the registration process):
Payment
Please review the Terms and Conditions below, and then indicate the Payment Method and Deposit Amount you will pay at this time.
Deposit Amount *
We generally ask each student to pay half of your pledged tuition as a deposit at the time of registration.  This ensures us that you are committed to coming, and also gives students more time to pay the full tuition. Tuition balance is due by 3/15/17. If you would prefer to pay the entire tuition at once, that is great too! Please enter the amount in US$ you will pay at this time. (You will be directed to a payment page after completing this form.)
Terms and Conditions *
No-Refund Policy: Deposits and payments are absolutely nonrefundable if you cancel for any reason. However, deposits may be transferable to a future session, minus a $100+ administration fee to be determined by EAT Administration upon occurence. (In the unlikely event that we must cancel the course, all monies paid, including your deposit, will be refunded.) Full tuition payment is required by the registration deadline, two weeks prior to the beginning of the course, or you may forfeit your reserved spot. By clicking below, I am asserting that I have read and understood the NO-REFUND policy.
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Payment Method *
Please select a payment method
First Name *
Middle Name
Last Name *
Address *
City *
State (Provence/Region - Non U.S.) *
Country *
Zip Code *
Home Phone *
Cell Phone *
Emergency Contact Name *
Emergency Contact Phone Number *
Other Info *
Where Did You Hear About this Course? From an event or website?  From Living Mandala? Please be specific.
Travel
Transportation Needs/Offers *
To help facilitate your transportation to the course, please let us know your travel plans and which of the following applies.  What is your intended means of transportation to Cazadero, California for the course?
Carpool
I am interested in carpooling and would like contact info for other registrants in my area.
Ride Offer
If driving, able and willing, please indicate here if you can offer a ride, from what area or city(s), and how many people you can fit in your vehicle (keeping in mind that everyone will have baggage with them).
Ride Needed
Ride Needed. If you are hoping to get a ride, please indicate that here and from where.
Flights and More
Flights & More.  If you are flying in and need to arrange transportation from the airport, please indicate that here as well as your flight, train, or bus arrival information.  We can most likely arrange something for you from San Francisco or Santa Rosa, but cannot guarantee that there will be carpool rides for everyone who wants one.
Other Info
Accommodations *
The accommodations for this course are shared, dorm style rooms. For an additional cost, we have a limited number of single and double rooms available for students. Students with health and accessibility needs have priority to rooms. If you are interested, please select one of the "Private Room" options below. If you have any questions about accommodations, please contact us at earthactivisttraining@gmail.com.
Food Preferences *
EATers eat well. Our standard is gourmet, organic, vegetarian meals, served three times a day, plus afternoon munchies. All EAT meals will be provided by a professional catering company. All food is fresh, plentiful, and substantial. Teas and coffee are available at all times. You may bring your own wine or beer for dinner.   EAT bases its food budget based on your answer to the following, and we shop for specific amounts of meat, vegetarian and vegan options based upon the information that students provide us. Please note that we cannot budget for folks who wish to eat meat on the rare occasion during the course, and we also cannot accommodate for folks with very specific dietary requests, such as raw and live foods.  We also cannot change our food order after it has been placed. So while the food is delicious and enticing, please do not change your mind on the options below after the course has started, and please choose an option now.  If you have any questions about your specific food needs, please contact us at earthactivisttraining@gmail.com and we can create a solution together.
Special Food Needs
If you have a severe, life-threatening food allergy (such as peanuts), be sure we know! Please indicate any needs or food allergies here.  If you answered "Other" above, please explain here:
Physical Special Needs
If you have any physical special needs or are differently abled, please let us know: Please indicate any needs here.
Mental Health Needs
If you have any mental health needs that might affect your participation in the course, please let us know.  All information will be kept confidential.  Please email earthactivisttraining@gmail.com if you have any questions.
Work Traders
Work trade students must follow additional instructions before they are admitted to the course. For more on work trade, please refer to our website:  earthactivisttraining.org/worktrade-scholarships/ 

If you have any questions, don't hesitate to contact us via email at: earthactivisttraining@gmail.com
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