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Permaculture Design Certificate Course, Monte da Orada, Course Registration Form
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Email
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Your email
Course Date:
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April 4-18, 2020
Name
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Your answer
Whatsapp Number
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Gender
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Female
Other
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Nationality
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Date of birth
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Emergency Contact Name, Phone Number, Email
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Special Needs
(dietary requirements/allergies/medical needs/physical limitations/facility requirements)
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Tell us a bit about yourself.
(home town, passions, how you spend your time, anything else you would like us to know)
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Areas of expertise of any kind, or something you are passionate about?
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What are personal motivations for taking a PDC? Is there any particular information or topic you wish to cover in this course?
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What skill, talent, knowledge and/ or experience would you like to potentially share with the group?
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Accommodation (includes food and classes)
*
Dorm room/ your own campervan €600
Private Room with en-suite toilet €1,500
Couple room €2,200
Other:
How'd you hear about us?
*
Permaculture Association UK Website
Google Search
Facebook
Personal recommendation
Other:
Your application will only be complete with a small, non-refundable deposit of €100 to: Bank: Beneficiário: David Rafael; IBAN: GB86 REVO 0099 7031 4324 45; BIC: REVOGB21 or by PayPal to
circlepermaculture@gmail.com
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PayPal (please add €10 for processing)
Bank Transfer (details to follow)
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