Course Enrolment - Your Details
If you have any questions, please email us BEFORE registering:

Once you are SURE of your course choice, and have asked all the questions you need to, complete enrolmen by sending your payment using one of the following methods (and then completing this form):

Bank Transfer
IBAN: ES58 1491 0001 2510 0914 6125

Pay Pal to *
* please add 10€ to your transfer to cover PayPal charges

Please note that all of your contributions are not payments to a business, but donations to the Gaia Tasiri Association
(the non-profit organization based in Spain that coordinates the IPC Academy) which go entirely to support sustainability projects around the world.

Completing the form to send us the information (below) is the final step for enrolling.

Thank you for choosing to join our wonderful Integral Permaculture global community! We will get in touch with you as soon as we create your space on the course, and note that we will not share any of your information with third parties or entities.

Course you are enrolling on: *
Contribution total (and name under under which it was made, if different to yours): *
Your answer
Full name: *
Your answer
Your usual email (and a Gmail address if you have one): *
Your answer
Your telephones (home & mobile) so we can contact you if we need to: *
Your answer
Your Skype address: *
Your answer
Your Facebook address: *
Your answer
Area where you live: *
Your answer
Languages you speak: *
Please put your mother tongue first
Your answer
Age: *
Your answer
Gender: *
Your answer
How did you find the Academy? *
Please add website address(es) where relevant.
Your answer
Have you joined our mailing list ? *
Have you joined our Facebook Group? *
Do you have any questions?
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.