Registration for Permaculture Design Certificate Course (PDC) at IPC India 2017 * PARTICIPANT
Course Dates: 3 - 22 November 2017

Location: Polam Farm & Aranya Farm, Telangana, India
Polam Farm is also the location of the International Permaculture Convergence IPC India starting on 27th November 2017. The International Permaculture Conference will happen in Hyderabad City from 25th-27th November.

Course Description: http://ipcindia2017.org/pdc_training.php

IMPORTANT NOTICES:

1. Please note that in order to confirm your registration, you need to pay the full participation fee. Get in touch with ipcpdc2017 [at] gmail [dot] com if you haven't already discussed your mode of payment with us.

2. If you are applying for the REDUCED RATE, you will be asked in this form to provide an explanation for why you are not able to participate at the standard rate. Please note that we have a limited number of reduced rate spots available primarily intended for financially disadvantaged participants from the global south. We will give them to those most in need and most deserving. Payments and registrations for reduced rate spots can only be completed once the course instructors have approved your application. While we'll try our best to approve your application soon, in some cases this might take up to the end of July 2017 at the latest, as more reduced rate spots become available in relation to the number of standard and support rate registrations we get. We encourage you to also try to raise your own funds for the course which might enable you to pay the standard rate.

3. We strongly encourage all those who are financially comfortable to pay the SUPPORT RATE, which enables us to make more reduced rate spots available to those who would not otherwise be able to participate. Any profits from the course will go as a direct donation to IPC India 2017, helping to make the Conference and Convergence possible. As a special perk, all those participating at the support rate will get a FREE one-hour consultation during the course with Rico Zook on a project of their choice, such as your garden, farm, personal permaculture design that you're working on, etc.

Email address *
First name *
Your answer
Last name *
Your answer
Gender *
Nationality *
Please note that it is your own responsibility to check the visa requirements for India for your nationality, and to apply for a visa in good time before your departure. We will not be able to give any refunds if you miss part of or the entire course due to delays in getting your travel documents.
Your answer
Address (Street, PIN Code, City, Country) *
Your answer
Phone number in India
Your answer
Phone number other (including country code +...)
Your answer
Emergency contact information in your home country *
Please provide the name, relationship and contact details (email and phone) of someone at home whom we should contact in case of a medical emergency.
Your answer
Emergency contact information in India
If you're from outside India but have family or friends in India, please give us their name, relationship and contact details (email and phone) so we can contact them in case of a medical emergency.
Your answer
Profession and current occupation *
What is your present occupation with roles and responsibilities? (If you are applying for reduced rate, please answer in as much detail as possible.)
Your answer
Experience in permaculture and sustainability *
Have you attended any other permaculture or sustainability courses? Please also list any experiences or knowledge you have relating to permaculture or sustainability, such as appropriate technology, food production, design, community work etc.
Your answer
What are your expectations of this course? *
Please write a short paragraph about your motivation for joining the course, what you would like to gain from it and what your expectations are.
Your answer
Thematic stream *
Please rank the thematic streams according to your preference. We'll do our best to make sure all participants get at least their first or second choice. However, with the large number of participants, we hope you understand the challenges and will not be disappointed if you don't get into your first choice stream.
First Choice
Second Choice
Third Choice
Fourth Choice
Agriculture
Earthworks & Water
Social Permaculture
Urban Permaculture
Course fee and accommodation *
The course fee includes all meals, the option to camp in your own tent, course materials (digital and print) and your Permaculture Design Certificate. The fee EXCLUDES rented accommodation, please see next section. We strongly encourage those who are financially comfortable to pay the support rate which will enable us to subsidize a reduced rate for those who would not otherwise be able to participate. Any profits from this course will be donated to IPC India 2017.
Reduced rate explanation
If you selected the reduced rate above, please share with us here why you feel you qualify. The reduced rate is primarily intended for financially disadvantaged persons from India and the global south. Payments and registrations for reduced rate spots can only be completed AFTER the course instructors have approved your application. If your application is successful, we will send you a payment link and your registration will be confirmed as soon as you complete the payment. This might take up to the end of July 2017 at the latest, as more reduced rate spots become available in relation to the number of standard and support rate registrations we get. We encourage you to also try to raise your own funds for the course which might enable you to pay the standard rate.
Your answer
Accommodation *
Please choose your accommodation here, and note that your choice is binding. All categories are subject to availability and are filled on first come, first served basis. The rental rates below are for the entire course (20 nights) and include ground-level mattress, pillow, bed-sheet and fleece blanket. There will be a refundable security deposit of INR 500 per person on hired tents and bedding to be paid when you are on site. If you are bringing your own mat and sleeping bag, please let us know. If you are camping in your own tent, please bring your own mat and sleeping bag. A very limited number of camping beds is available for those with special needs.
Accommodation sharing *
If you chose a shared tent and would like to be grouped with a particular person, please give us their name(s) here. Note that shared tents are gender-segregated, unless you are a mixed group or couple and would like an entire tent to yourselves.
Your answer
Food requirements
As much as possible, plant food will be locally & organically grown. Fruits, snacks and tea are included and there will be a non-veg option on two days per week.
Special needs & health issues *
Please let us know of any special needs, allergies, food intolerances, illness, physical limitations etc. that we should be aware of. We need to know this about you in order to best accommodate everyone's needs, as we will be doing as much hands-on work as we can arrange during the course.
Your answer
Transport logistics to and from the venue *
Polam farm is located in Medak District in rural Telangana, about 110 km (2.5 hours by road) from Hyderabad. We will arrange a bus transfer to and from Hyderabad for all course participants. If you miss the departure of this bus, it will be your own responsibility to reach the farm. Please note the details you register for carefully, and inform us immediately on ipcpdc2017@gmail.com in case your plans change. If you register for the bus transfer, make sure you submit an Indian mobile number above or send it to us later before November 3rd. Please tick ALL the boxes that apply to you below.
Required
Extending your stay after the course *
We are currently looking at the possibility of offering extended stay options for those wanting to stay on the farm longer. Please indicate here whether you would be interested in this. A confirmation and details about the cost for extending your stay will be sent to you later.
Comments & questions
Is there anything else you would like us to know? Do you have any questions about the course that are not answered by the course description on the IPC India website?
Your answer
Privacy *
I agree that my name and email ID can be shared with other course participants, volunteers and instructors by mail and in print. The purpose is to facilitate coordination and exchange between all course participants. We will not publish your details online or share them with any other parties. If you agree here and change your mind later, just send an email to ipcpdc2017@gmail.com.
Cancellation policy *
In case of cancellation BEFORE 31st July 2017, you will get refunded 80% of your fee payment. After that, you will get refunded 65% if you cancel before 30 August 2017, and 50% if you cancel before 30 September 2017. After 1st October 2017, you will not get a refund. However, until 20th October 2017 you always have the option of finding a replacement person and getting the full fee payment directly from that person. Note that in this case, you are fully responsible for getting the payment from that person. From the time you notify us that you cancel and give us the replacement's name and contact details, you will not be able to take back your place on the course. We take no responsibility for you getting the payment from the replacement person.
A copy of your responses will be emailed to the address you provided.
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