2020 Homestead Design PDC Registration:

POSSIBLE Dates: Fridays @7pm - Sundays at 5:30pm; Jan 10-12; Jan 24-26; Feb 7-9; Feb 21-23; Mar 6-8
@ the Alaskan Bioshelter

Email address *

An Alaskan Cold Climate Permaculture Design Course

FIRST AND LAST NAME *

Snail Mail Address *

Good Contact Phone Number: *

Email address *

Food (your tuition includes meals) *

Omnivore

Vegetarian

Vegan

I have celiac disease

Other:

Required

Lodging *

I would be willing to house an out-of-towner

I will provide my own lodging

Required

Any other special needs, allergies, conditions we should know about?

Travel *

I will be driving by myself.

I could take another person or two in my car.

I need a ride and would love to carpool.

Required

Attendance is required in order to earn the internationally recognized certificate: Friday night from 7pm-9pm; Saturday 9am-6pm; Saturday evening (optional), Sunday 9am-5pm.

I'm planning to be at every required session

I understand that if I'm sick, I will need to make that time up as homework.

I have a property that I'd like to actually design for during the course.

Other:

How did you hear about this course? *

How would you like to pay? (Suggested Sliding Scale Tuition) *

Tier #1 Tuition: $995 Early*/$1095 Regular — For lower income households under $40K

Tier #2 Tuition: $1195 Early*/$1295 Regular – For slightly higher households under $75K; represents the true cost of tuition

Tier #3 Tuition: $1295 Early*/$1395 Regular – For households experiencing abundance over $75K

Early refers to no later than September 30th

I would like to participate in the payment plan and pay HALF before Oct 1, and the remainder by Nov. 1st

I hold a PDC certificate and will pay $650 if there is still room on Nov. 1

I would like to use Pay Pal (Visa, MasterCard): (see details on web site)

I would like to send a check to: Alaska Cold Climate Permaculture Institute c/o Cindee Karns 3901 Delores Dr. Eagle River, AK 99577

I'll bring CASH to the door

Other:

Required

I understand *

I understand that if I do not pay in full by the deadline under the option I have selected, the rate will change,

I understand that any cancellations made in October (but before a week before class starts) will be subject to a 20% non-refundable tuition fee.

I understand any cancellations later than 7 days before the start of the event are subject to a 50% non-refundable tuition fee.

If I cannot make the event, I can appoint someone to come in my stead with 24 hours notice.

I understand this form will be the beginning of your registration for the course and will be complete once we receive your tuition.

If I have any other questions, I can send an email to: alaskanbioshelter@gmail.com or call the Bioshelter @ 622-3969

Other:

May we use pictures of you taken during the course in advertising for future courses? *

Yes, you can use pictures/videos of me

No, please do not use pictures of me

Required

Every year we are asked for scholarships. If you would like to pay it forward, please include a donation with your tuition. We will add it to our scholarship fund. Thank you so much for your generosity. Please put the amount you are donating in the answer box.

SCHOLARSHIP APPLICATION: You can submit your own name or nominate someone who has demonstrated outstanding performance and commitment toward gaining knowledge, practice or achievement in the field of permaculture, sustainability, community, and has demonstrated that they will work to use the knowledge and talent to better their community, the future for Alaska and its natural ecosystems. What is this person's name?

Write an essay to explain why you or this person should receive a scholarship to attend this course or others, and how they might use this knowledge in the future.

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