2017 Permaculture Design Course @ Rocklyn Ashram
Friday 10th - Saturday 25th February 2017
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Name
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Please print the name as you want it to appear on your course certificate
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Gender
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you will be allocated women's or men's sleeping quarters
female
male
not applicable - I am planning to camp
Organisation
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Address
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Postcode
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Country
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Telephone (Home)
incl. area code
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Emergency contact details
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Relationship
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Telephone (home)
[incl. area code]
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