Artist as Family's 2019 Permaculture Living Course Application Form
Your name: *
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Are you applying as a couple? *
If so, who is your partner?
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Address: *
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Email address: *
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Phone number (with area code if not a mobile): *
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Age: *
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Name of person to contact in case of emergency: *
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Your relationship to them: *
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Their phone number: *
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