Reaching Nature Connection Conference Registration - Asheville, NC, March 11-12, 2017
Welcome! We're glad you'll be joining Reaching Nature Connection.

You will need to complete a separate registration form for each individual attending, and your space is secured when payment is received. If you have any questions, please contact us at

CONFERENCE DATES: March 11-12, 2017


Conference fee - $250-275
Current ECE students - $175-200 for early childhood education students currently enrolled in an ECE course.

Group discount- 10% off for groups of 3 or more. We will be in touch to confirm whether space is available for your group.
Discounts may not be combined.

Maximum participants: 35

Payment methods:

1) Check or Money order Payable to: School of Integrated Living, 11 Full Circle Trail, Black Mountain, NC 28711
2) With your Paypal account, send to:


Saturday - Day 1
8:15am - 8:45am Conference Check In, Please Arrive by 8:45am. Join us for light refreshments!
9:00am - 5:00pm Conference Begins Promptly at 9:00am

Sunday - Day 2
9:00am- 4:00pm Conference Begins Promptly at 9:00am

Please be prepared to be outdoors all day with the following items:
Travel mug
Layered clothing for variable weather
Re-useable water bottle
Chair or Blanket for sitting on the ground
Notebook and writing implement
Your own food
Your own plate and utensils

We strive to have a no waste experience.

LOCATION: Earthaven Ecovillage, 50 minutes SE of Asheville.

If you have any questions about registering for this conference, please contact NikiAnne Feinberg at

Participant Information
First Name *
Your answer
Last Name *
Your answer
Organization *
Please share the primary (and secondary, if you wish) organization with which you are affiliated, or indicate if unaffiliated.
Your answer
Email *
You'll receive Conference information by email
Your answer
Repeat Your Email *
Please type your email again so we're sure to have it right.
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Please share your background *
Select all that apply *
How did you FIRST find "Reaching Nature Connection"? *
Click All that Apply
Are you interested in staying at Earthaven if possible? *
Please share anything else with us you would like us to know about yourself.
Your answer
Group Discount
The Group Discount gives 10% off the Conference fee for groups of 3 or more attending from the same organization or that are otherwise affiliated (depending on space available). If you would like to avail of the Group Discount, please name the head of your party here, and contact us at to discuss/confirm your group.
Your answer
ECE Student Discount
The ECE student rate is $175-275 for Early Childhood Education students currently enrolled in a formal ECE course. If you're availing of this discount, please let us know where you are studying ECE.
Your answer
Conference Fees *
Please check appropriate conference fee. Your space is secured when payment is received. Conference fee - $250-275. Current ECE students - $175-275. If you would like to take the Group Discount of 10% off for 3 or more, please mark "Other" and type in the name of the head of your party.
Payment Methods
1) Check or money order payable to: School of Integrated Living, 11 Full Circle Trail, Black Mountain, NC 28711
2) With your Paypal account, send to:
Payment Method *
Please let us know which method of payment you will be using.
Terms & Cancellation Policy
A refund of registration fees paid, less a $50 cancellation fee, is available until February 15, 2017. No refunds are available after February 15, 2017.

Participant Release: Participants will be required to sign a liability release upon arrival to the Conference. The statement below gives a preview of the nature of the liability release.

"...The undersigned also releases The School of Integrated Living, The Academy of Forest Kindergarten Teachers and their agents, from all claims which may develop or accrue to me, on account of, or reason of, any injury, loss, or damage which may be suffered by me as a result of the exercise of this consent and I hereby assume and accept the full risk and danger of any injury, hurt or damage that may occur as a result of the use of exercise of this consent."

Agree to Terms *
Questions - please share briefly
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms