Sacred Earth Intensive 2019 | REGISTRATION
Join us for an intensive residency in magical and practical healing for ourselves, our communities and the earth.

March 18th – 22nd, 2019: five-day intensive residential course
Location: Black Mountain Retreat Center, Cazadero CA

Led by Starhawk, Amythest Faria and guest teachers.

Click here to journey back to our website to read more: https://earthactivisttraining.org/courses/sacred-earth-intensive-2019/

Contact Information
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Mailing/Street address
Your answer
City
Your answer
State (Province/Region)
Your answer
Country *
Your answer
Zip Code *
Your answer
Phone *
Your answer
Referral information *
Where did you hear about this course? From an event or website? Please be specific.
Your answer
Are you signing up for one or both of our March Intensives? (Social Permaculture Intensive is held March 13-17) *There is a discount if you attend both*
Emergency Contact and Medical Information
All information will be kept confidential. Please email us at info@earthactivisttraining.org if you have any questions.
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Accessibility Needs
Please share accommodations requests here.
Your answer
Rideshare Program
Our rideshare program allows our registrants to connect with each other to give and receive rides. Details will be provided by those who offer or request rides in the section below. Ride coordination is organized within the two weeks leading up to the course.
Carpool/transit info *
To help us facilitate transportation to and from the course, please let us know how you will be getting here:
Ride Offer *
Can you offer a ride to fellow course participants? (more details in following questions)
Ride Offer details
Please let us know where you are driving from and how many people (and their bags) you can take in your vehicle.
Your answer
Ride Needed details
If you are flying in and need to arrange transportation from the airport, please indicate that here as well as your flight, train, or bus arrival information. Often we can arrange rides from near Oakland or San Francisco airports, but if that is not possible we will arrange a pickup from the Santa Rosa transit hub which is served by Airport Express (http://airportexpressinc.com/).
Your answer
Food Information
EAT bases its food budget based on your answer to the following, and we shop for specific amounts of meat, vegetarian and vegan options based upon the information that students provide us. We can easily accommodate common food allergens, please indicate below, but please note that we cannot accommodate for folks with very specific dietary requests, such as raw and live foods. We also cannot change our food order after it has been placed. So while the food is delicious and enticing, please do not change your mind on the options below after the course has started, and please choose an option now. If you have any questions about your specific food needs, please contact us at info@earthactivisttraining.org and we can create a solution together.
What is your dietary preference? *
Please check any food allergies that you have:
Special Food Needs
If you have a severe, life-threatening food allergy (such as peanuts), be sure we know! Please indicate any needs or food allergies here. If you answered "Other" above, please explain here:
Your answer
Please indicate here whether you are applying as a standard attendee or applying for a Work-Trade or Diversity Scholarship position
If you are applying for a Work-Trade or Diversity Scholarship position, you must complete an application and be confirmed before you will be registered to the course. Please select below if you are applying for either and proceed:
Registration type: *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service