Step 2 of 2: Participant Information
After making your payment via PayPal, please fill out this form so that we have all the information we need.
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In which course are you enrolling? *
First Name *
Last Name *
Preferred Name
If different than above
Email *
Phone *
Please use the format XXX-XXX-XXXX
Gender Pronoun(s) *
This helps us understand the best way to address you. For example, choose "She/her" if you want us to say "She's celebrating her birthday today." Choose all that apply.
Required
Your age *
City (where you live and/or where you will be coming from prior to the course) *
Carpooling. Would you like to be in touch with other participants about carpooling? *
Camping. Will you be staying on site, either in your vehicle or in a tent? *
You can change your mind at any time. We just need to get a general headcount.
Required
If you will be staying onsite, please fill in your vehicle description and license plate number below. This info is mandatory to share with the folks who manage the site. *
You can change your mind at any time, but please provide this info if you currently intend to stay onsite.
Dietary Preferences. We typically have lunchtime potlucks during the course. To make this easier, please list any dietary restrictions or preferences. *
Accessibility. Do you require wheelchair access or have any other special needs?
If you signed up for one weekend only, which weekend do you plan to attend? *
Refund Policy *
The refund policy is also stated on the course website: https://santacruzpermaculture.com/permaculture-design-course/
Required
Online courses when necessary *
We intend to have all of our sessions onsite and in person. However, due to unforeseen circumstances such as fire, poor air quality, COVID restrictions where an instructor cannot come, or rain, we are prepared to move class online. We always prefer to hold class onsite when possible, but we do host great and engaging online classes when needed.
Required
How did you hear about us? *
How did you hear about us? (if applicable)
To the best of your recollection, when did you first hear about the course? *
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To the best of your recollection, when did you first consider signing up? *
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What prompted you to take the next step and sign up? *
What other permaculture courses have you taken, if any? *
Required
What's your current job/profession? *
This is for the purpose of building professional connections within our community.
What company/organization do you work for/at? *
What are your main hobbies and/or other organizations you are involved with? *
Anything else you want us to know about you?
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