Earth Activist Training: Summer 2017 Registration
Permaculture Design Certificate Course with Starhawk and Charles Williams
Jun 25 - July 8th, 2017, Freeport, IL, United States
Contact Information
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Last Name
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State (Province/Region - Non U.S.)
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Referral information
Where did you hear about this course? From an event or website? Please be specific.
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Emergency Contact and Medical Information
Emergency Contact Name
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Emergency Contact Phone Number
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Physical Special Needs
If you have any physical special needs or are differently abled, please let us know, and indicate any needs here.
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Mental Health Needs
If you have any mental health needs that might affect your participation in the course, please let us know. All information will be kept confidential. Please email us at if you have any questions.
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Rideshare Program
Our rideshare program doesn't guarantee anyone transportation, but allows our registrants to connect with each other to give and receive rides. Details will be provided by those who offer or request rides in the section below. Ride coordination is organized within the two weeks leading up to the course.
Carpool/transit info
To help us facilitate transportation to and from the course, please let us know how you will be getting here:
Ride Offer
Can you offer a ride to fellow course participants? (more details in following questions)
Ride Offer details
Please let us know where you are driving from and how many people (and their bags) you can take in your vehicle.
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Ride Needed details
If you are flying in and need to arrange transportation from the airport, please indicate that here as well as your flight, train, or bus arrival information. We can most likely arrange something for you from Rockport or Madison, but cannot guarantee that there will be carpool rides for everyone who wants one.
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Accommodation for this course is camping in one of two designated locations: a campsite close by the classroom and kitchen area, and a campsite about an 8-minute walk from the site, which is quiet but also more difficult to access. You will need to bring all of your own camping gear including a tent and sleeping gear. If you have any questions about accommodations, please contact us at
Food Information
EATers eat well. Our standard is organic, vegetarian-friendly meals with vegan options, served three times a day, with self-serve snacks available throughout the day. All EAT meals will be provided by a professional catering company. All food is fresh, plentiful, and substantial. Teas and coffee are available at all times. EAT bases its food budget based on your answer to the following, and we shop for specific amounts of meat, vegetarian and vegan options based upon the information that students provide us. Please note that we cannot budget for folks who wish to eat meat on the rare occasion during the course, and we also cannot accommodate for folks with very specific dietary requests, such as raw and live foods. We also cannot change our food order after it has been placed. So while the food is delicious and enticing, please do not change your mind on the options below after the course has started, and please choose an option now. If you have any questions about your specific food needs, please contact us at and we can create a solution together.
What is your dietary preference?
Please check any food allergies that you have:
Special Food Needs
If you have a severe, life-threatening food allergy (such as peanuts), be sure we know! Please indicate any needs or food allergies here. If you answered "Other" above, please explain here:
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Pricing, Payment, and Cancellation Policy
The cost of the course includes all instruction, activities, camping, a digital copy of our extensive EAT Reader, and meals for the two-week intensive. To keep our course accessible to people of all economic levels, EAT offers a number of different pricing options, all of which are based on a sliding scale, as well as limited Work-Trade positions at half cost and a Diversity Scholarship program for people of color working in environmental, social and food justice areas. Please choose the scale that is appropriate for your situation; you decide where you slide on that scale. When you complete this form, you will be directed to the course page where you can process your payment via the method you indicated.
Cost: $1600-$2000 sliding scale.
The cost to attend the Summer 2017 Earth Activist Training is $1600 - $2000 US sliding scale. Please read the options and select the amount of tuition you are planning to pay for this course below.
Payment Amount
Payment of at least a $850.00 deposit is due at the time of registration (work-traders must pay at least $425 as a deposit). Paying your full tuition at the time of registration is preferred if at all possible! We will send a Paypal invoice for any balance remaining that is due 30 days before the course begins. Please enter the amount in US$ you will pay at this time.
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Terms and Conditions
No-Refund Policy: Deposits and payments are absolutely nonrefundable if you cancel for any reason. However, deposits may be transferable to a future session, minus a $100 administration fee. (In the unlikely event that we must cancel the course, all monies paid, including your deposit, will be refunded.) Full tuition payment is required by the registration deadline, June 10th, 2017, or you may forfeit your reserved spot. Due to financial commitments made to the event venue, we are unable to issue refunds after this date. Any registrations received after June 10 must be submitted with full payment. By clicking below, I am asserting that I have read and understood the NO-REFUND policy.
Payment Method
Please select a payment method. When you complete this form, you will be directed to the course page where you can process your payment via the method you indicated.
Work Trader and Diversity Scholarship Applicants
You must submit your personal letter before you will be registered to the course. For more on applying for work trade and diversity scholarships, please refer to our website:

If you have any questions, don't hesitate to contact us via email at:

How to pay:
Thank you for registering for the upcoming training. We are looking forward to your presence! To complete your registration, please go to the following webpage to make your payment:

Our coordinator will contact you within the week with an email confirmation of your registration and payment. Please don't hesitate to contact us with any questions in the meantime, at Thank you!

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