Application form - Greenpop Eden Festival of Action 2019
We are so excited that you're applying for the Greenpop Eden Festival of Action 2019!

Please fill in this application form to register for this event.

Once we have received your application we will contact you within about 1 week to continue the confirmation process.

The next step will then be to pay the programme deposit fee - we will send you an invoice. Once we receive your deposit, your placement will be confirmed! If you have chosen to raise funds through Trees for Fees, we will send you more information on how to set-up your profile and begin fundraising.

Are you ready for action?

If you have any questions, don't hesitate to get in touch at eden@greenpop.org

Personal Details
First name *
Your answer
Last name *
Your answer
Email address *
Your answer
Phone number (incl. country code) *
Your answer
Gender *
Nationality *
Your answer
Where do you live? (eg. Cape Town, South Africa) *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Passport / ID number *
If you are not from South Africa, please make sure your passport is valid until a few months after the programme and check you have enough pages available for stamps and (if required) visa.
Your answer
Name of your School or University?
Only if applicable
Your answer
Application Details
Which week or weeks of the programme would you like to apply for? *
Join us for 1, 2 or 3 weeks. Select below which week(s) you'd like to stay. The Youth Programme is specifically for high school students between the ages of 13 - 19 years. The Adult Programme accommodates participants over the age of 18, as activities and workshops are more curated to adults.
Required
Programme Fees
How do you plan to pay your programme fee? *
In which currency should we invoice you? *
If you are a visitor to Africa and want to be invoiced in ZAR we will convert the USD price based on the exchange rate on the day of invoicing.
Would you like to (partially) compensate your travel footprint for travelling to the festival by adding one (or more) trees to your booking? *
We will email you the tree certificate after the event.
Parent's Contact Details
(Please complete if you are under 18 Years of Age)
Parent/Guardian's name
Your answer
Parent/Guardian's email address
Your answer
Parent/Guardian's phone number
Your answer
Terms and Conditions
I understand and agree to the Terms and Conditions for the Greenpop Eden Festival of Action 2019 *
Please make sure you read the Terms and Conditions here: http://bit.ly/GPEden19TCs
Required
Do you have a discount code?
If you have a discount code for the Eden FOA 2019, please add it here and we will apply it to your invoice
Your answer
Is there anything else you feel we need to know?
Do you have any specific requests, or any talents that you would like to share with us (e.g. musician, photographer etc.).
Your answer
Thank you for applying!
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