Service-Learning Week Registration Form
April 26–30, 2018
At Earthaven Ecovillage

Please fill out this registration form and make your payment to secure your space in the program.

Fill out a separate form for each person you are registering.

Personal Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Facebook Name
Optional
Your answer
How did you hear about this opportunity? *
Please be as specific as possible.
Your answer
If there is someone else you're attending this program with that will be registering as well, please provide their name here. *
Your answer
What is drawing you to this experience and what do you want to get out of it?
Your answer
Is there anything else you'd like us to know about you ahead of time?
Your answer
Payment
Remember to make your payment of $25 after submitting this form to complete your registration process and secure your place in the program. Instructions are listed at the program page on our website: www.schoolofintegratedliving.org/programs/service-learning/
Accommodations *
Required
Payment method *
Please make your payment immediately after registering.
Would you like to contribute financially to making this program possible for someone else who wouldn't be able to attend without the support of others? If so, please designate the amount you'd like to give.
Please include this amount in your check or send via PayPal to info@schoolofintegratedliving.org.
Your answer
Refund Policy
If you cancel, you may transfer your place in the program to anyone of your choosing, who will need to register online. You can also donate your place to someone who would not be able to participate without financial assistance.

A 50% refund is available until April 1, 2018.
After April 1, 2018, there will be NO refunds.

If SOIL cancels this program for any reason whatsoever, 100% of your payment will be refunded.

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