JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Spring 2020 ERC Permaculture Design Course
Dates: February 1/2, February 22/23, March 14/15, April 4/5, April 25/26, May 16/17
Site: Texastopia Farm
Site Address: 33 Delaware Creek Rd, Blanco, TX
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Student (complete a separate registration form for each student)
*
Your answer
Name Appearing in PayPal payment (if paying online)
Your answer
Address
*
Your answer
Phone Number
*
Your answer
What is the name and phone number of your emergency contact?
*
Your answer
Please indicate if you will take the full course, or specific weekends.
*
Full Course
Weekend 1
Weekend 2
Weekend 3
Weekend 4
How did you hear about the course? Please be specific -- the details help us tremendously.
*
Your answer
Will you be camping on site?
*
Yes
No
Undecided
We have 2 RV connections. Are you interested in RV camping?
*
Yes
No
Undecided
If camping, do you require any special accommodations?
*
Your answer
While the course is primarily indoor instruction, we will have several outdoor activities. Do you have any mobility impairments, disabilities, or other conditions that might inhibit your participation? We will try to accommodate where we are able.
Your answer
What goals do you have for your Permaculture Design Course?
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
