Registration Permaculture Design Course
Welcome to the registration site of Permaculture Design Course in Gaia Ashram from February 16th to March 5th, 2022.

Please fill in the form and secure your spot by depositing the down payment.

Contact us if you have further questions or inquiries: gaiaschoolasia@gmail.com

For details about the course, please read here: https://gaiaschoolasia.com/?page_id=142977
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Email *
Basic Information
Please fill out the following required basic information
Full name (Please write as it should be on your certificate) *
Nickname / preferred name of use during this program *
Nationality *
Age *
Gender *
Contact Information
Email Address *
Where are you currently located? *
Contact number including Whats App phone number *
Please provide country/area code
Who is your emergency contact? (please provide phone number, email and the relationship to this person)
Language Proficiency
The course will be facilitated in English so while it is an essential skill to have, we would like to encourage participants to join even if you don't feel confident in English as we will be taking this into consideration when we facilitate.
English *
Beginner
Proficient
What other languages are you fluent in?
Would you be willing to support with translations if required?
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Background Information
How did you find out about this Permaculture Design Course? *
Have you had any prior experience with Permaculture or Gardening? If yes, please elaborate. *
Food, special needs & lodging
Gaia Ashram serves vegetarian and vegan food.

The course is residential, so staying at the venue is required. Accommodation is dormitory-style. There are single rooms and larger rooms available, however, these are limited and will cost extra if you require this. They will be allocated on a first-in, first-served basis.
Do you have any special dietary needs? If yes, please specify. *
Do you have any allergies? If yes, please specify. *
Do you have any special physical, medical or emotional conditions or needs? If yes, please specify. *
What is your preferred accommodation? *
Required
Logistics
We require all participants to arrive on the starting date (Feb 16th) before lunchtime at 12.30 pm the latest.

If you are traveling from overseas, we recommend you have a few days to rest and recover somewhere in Thailand, before you come to Gaia Ashram. Please check whether you will need a visa for Thailand. You'll find information about how to get to us on our website www.gaiaschoolasia.com.

We'll contact you with further information a few days prior to the course. If you have any questions feel free to drop us a message at gaiaschoolasia@gmail.com.
Fees
The full course fee is 25,000 THB.

In order to secure your spot, we are asking for a 5,000 THB deposit. The deposit can be paid via Eventbrite (fees apply), Paypal, or if you have a Thai account via bank transfer. Please bring the remaining amount in THB in cash on arrival. There are locally ATM's available if you do not feel comfortable traveling with that amount of cash.

Please note that your registration is not sufficient until you place your deposit or communicate with us about this (gaiaschoolasia@gmail.com)

Link eventbrite for deposit: eventbrite.com/e/permaculture-design-course-2022-tickets-146720692541
When do you plan to send the deposit of 5,000 THB? *
If you have any questions, comments or concerns, please share here.
Thank you for taking the time to complete this form. We will be in touch with you very soon to finalize your registration for the Permaculture Design Course at Gaia Ashram. We're looking forward to meeting you!
With gratitude, the Gaia Ashram team.
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