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Biotecture Planet Earth Puerto Rico 6 - Registration Form
Thank you for joining the Earthship Puerto Rico adventure. Please complete the below information as accurately as possible. By completing and submitting this form, you are officially reserving a spot to participate in this project. Your participation will become official once we receive payment from you and we will issue you with a receipt. Thank you!
We will be assisting you as best as we can but please remember this is an adventure, expect the unexpected and come prepared. Thank you!
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Email
*
Your email
First name
*
As shown in passport (include middle name).
Your answer
Last name
*
As shown in passport.
Your answer
Other name
What do you like to be called if different from your passport name.
Your answer
Gender
*
Male
Female
Other:
Date of Birth
*
MM
/
DD
/
YYYY
Phone number
Your answer
Current full address (include city, state and country)
Place of current residency - please include Street name, number, city, state and country
Your answer
Payment information
A donation of $700 is required for new volunteers ($600 for returning). A $50 discount applies if you sign up before 31 November ($650 or $550 for returning volunteers). This will go DIRECTLY to purchasing materials and tools for the building. People that will arrive on site without payment will be asked to leave.
Your answer
Emergency contact 1
*
Name and contact details (phone number).
Your answer
Emergency contact 2
*
Name and contact details (phone number).
Your answer
Travel insurance details (Provider, policy number, etc)
Health or Travel insurance is strongly recommended, BPE is not liable for emergencies.
Your answer
Occupation or special skills
We like to encourage knowledge transfer among volunteers as well as the local community. If you have any special knowledge or skills (first aid certification etc) that you think would be of help please let us know. Thanks! :)
Your answer
Accommodation is your own responsibility but we can help with accommodation options:
Option 1 - I will be finding my own accommodation (we recommend airbnb)
Option 2 - I would like to camp on site for $5 per night (payment due in cash upon arrival).
Clear selection
Would you like to sign up for the $6 vegetarian lunch plan on site?
Yes
No
Clear selection
Past experience with Earthship (don't worry, no experience is needed for this project!) :)
Academy, internship, none...
Your answer
Is there any other information that we should be aware of?
Your answer
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