Nature Culture Regeneration Booking Form: May 2021 - Adults
Please fill out the form as fully as you can, so we can make the weekend the best it can be.
Your place will be confirmed when your deposit has been received.
Please fill out this form for each adult participant.

For children booking onto the Woodlander programme, please use this form instead:

For more info on the weekend please see our website -
Your details
Name *
Name you would like to be called by *
Clear selection
Postcode *
Telephone numbers (landline and/or mobile) *
Email address *
The name of someone we could contact in an emergency. *
Emergency contact - their relationship to you *
Emergency contact number *
The food provided will be vegan with vegetarian options. Do you have any other special dietary needs? (Please make it clear if you are highly allergic to something).
Which type of milk do you want to use on the weekend?
Clear selection
Other needs, ie mobility, learning difficulties, allergies, health challenges...
Your Investment
You have a choice of how much to give for this weekend, based on whether you consider yourself to be abundant income, moderate income or low income. Please bear in mind when choosing that there are a number of us putting considerable time into making this weekend amazing and also be true to yourself when choosing. The sliding scale for adults is £260, £230 or £190 - prices include all food and camping for the weekend.

A deposit of £50 is required to reserve each place; the remaining balance is to be paid by 9th April 2021. All bookings after this date require payment in full. The deposit is non-refundable unless it should be necessary for us to cancel this course for any reason.
If we do need to cancel the course, your payments would all be repaid in full.

Payment details:
Peter Cow
Sort code: 08-92-73
Acct no: 88089250

Please put your name and NCR as the reference and email Peter with the details when you transfer it.

Cheques made payable to Peter Cow can be sent to - Dodbrooke Farm, Michelcombe, Newton Abbot, Devon. TQ13 7SP
How much are you choosing to pay in total? *
How much are you paying now? *
More about you to help us shape the weekend
The more we know about you the more we can tailor the weekend to meet everyone's needs.
What are your intentions for this weekend? What do you hope to get out of it? *
What other events or courses of a related nature have you attended, when and who with (e.g. nature connection, bushcraft, community building etc.)?
What other related knowledge/experience/skills do you have?
How did you hear about the weekend? *
Would you like us to keep your contact details and add you to our mailing list, so you can be kept informed of future events? - you can unsubscribe at any time. *
For more information or if you are stuck with any of this -
Please get in touch with Peter -

Thank you for your time.
In gratitude,
Peter, Root, and the team
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy