JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Applying Form
For the permaculture course (PDC) that will take place at „La Gugu” farm between August 30th – September 14th
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Surname and Name
*
It helps us recognize each other.
Your answer
Email Adress
*
It helps us stay in touch and keep you posted on any changes. Please enter a valid email address.
Your answer
Telephone number
*
In order to communicate about urgent matters.
Your answer
Do you have any experience in permaculture, either practical or theoretical?
*
If so, please elaborate your answer a little bit, give us some details. It helps us put together a better curriculum.
Your answer
What languages do you speak, and at what level?
In this course we will communicate a lot. It is important that we know by which means. Levels: native, expert, advanced, medium, beginner.
Your answer
Why do you want to participate in this course?
Please explain in few words what drives you to partake in this course, and what you want to do after completing it.
Your answer
What are your culinary preferences?
In order to organize the menu as best as possible, we want to know about certain preferences or restrictions you have.
raw vegan (no cooked food)
vegetarian (no animal protein)
Ovo-lacto vegetarian (no meat)
Omnivorous
Other:
Clear selection
Do you have any health conditions? Allergies?
It’s important that we know in advance, so that we can prevent the worsening of any health problem.
Your answer
Name and telephone number of a contact person, other than yourself.
Please provide a person’s name and a telephone number where he/she can be reached. This is needed as a precautionary measure, in case of an accident occurring.
Your answer
Where will you be comming from?
If we know this in advance we may be able to help you form traveling groups in order to reduce traveling costs/fuel consumption.
Your answer
Are you coming by car?
If so, are you willing to share your ride with other participants coming from the same area as you?
Your answer
Mentions
Please mention any other aspect we did not take into account, and you feel that it’s important it should be known.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report