Puerto Rico Earthship Registration Form
Thank you for joining the Earthship Puerto Rico workshop in August 2021. 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 NOT become official until we receive payment from you. The $150 donation fee is mandatory and payment can be made through the donation form on our website.

Thank you!

The project will start on August 28 at 9AM and the last day will be September 02. All transportation, accommodation and food are your responsibility. The workshop

The project is located in Aguada, Puerto Rico.
Sign in to Google to save your progress. Learn more
Email *
Full name *
As shown in passport (include middle name).
Other name
What do you like to be called if different from your passport name.
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Phone number
Current full address (include city, state and country)
Place of current residency - please include Street name, number, city, state and country
Emergency contact 1 *
Name and contact details (phone number).
Emergency contact 2 *
Name and contact details (phone number).
Please write a short description of yourself and any skills or hobbies that may apply to the project (occupation, first aid kit certification, languages, interests...)
Is there any other information that we should be aware of?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy