Register now!
mamabotanica
This will be an historic opportunity to create the future with other
like-minded women from up and down the coast. Please send in your
registration form (click Files on the google groups page to find it)
and payment asap!
Don't miss out! Invite your pdc graduate women friends that you would
like to spend the weekend with! Just think how great it will be to be
away from cell phones and computers, be surrounded by wild nature and
a blooming permaculture site, and to forge new connections with women
who are designing a world that works!
Thanks,
Joan
masina tillo
| I was wonderin where,when, how to register, and what the events will be. Do you have a Flyer ? masina tillo
craft parties, custom soap, bath and body
--- On Mon, 4/13/09, mamabotanica <mamabo...@sbcglobal.net> wrote: |
ca...@sbwest.net
And to answer someone's question, here's the registration form:
http://www.quailsprings.org/WestCoastWomenPermacultureREGISTRATIONFORM.pdf
More information about the gathering:
http://www.quailsprings.org/content/view/108/85/
Cheers/Cat
apolonia paulusse
|
\West Coast Women’s Permaculture Gathering Waiver and Registratration me_Apolonia Paulusse_______________________________________Date of Birth_______________________________Address_1037 N Rice rd________________________________________________City_Ojai__________________________Zip____ Ca_________Home Phone 805-624-5701_____________________ Daytime Phone#_805-same_______________________ e-mail address _Apple.ac...@yahoo.com_________________________Emergency Contact_Dennis Leary______________________________ Phone# 805-624-5701____________________________ Program Name_______________________________________ Support, Health and Medical Information (Confidential) REQUIRED FIELDS We worked hard to provide the best experiences, please help us out by helping us be asinformed of your needs as possible What interests you the most about this course? _Get teenagers involved and self growth,fear of empowerment or patriarchy in me
____________________________________________________________________________________________ _______________________________________________________________________________ Please describe your most supportive atmosphere: _Nature and earthy ,loving people____________________________________________________________________________________________ _____________________________________________________________________________________________ ________________________________________________________________________ Please describe your Permaculture courses and experience: _Several weekends in Quailsprings and adobe Floormaking workshop_with Justin___________________________________________________________________________________________ _____________________________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Are you a member of a Permaculture Guild, if so, which one? _No_____________________________ What isyour expected time of arrival? _Friday afternoon____________________________________________Please describe any allergies__No_____________________________________________________________ ______________________________________________________________________________________ Any condition now requiring regular medication?______No________________________________________ ______________________________________________________________________________________ Any restriction of activity for medical reasons?________________________________________________ ________No______________________________________________________________________________ Special considerations we should be aware of (ie diet, walking needs)?_____________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Physician’s Name: _______________________________ Phone__________________________________ Insurance Company ______________________________Insurance #______________________________ In case of emergency conditions, if instructor is unable to contact me or my emergency contact, I hereby request and authorize any physician, hospital and health care provider to provide medical treatment promptly for me. In consideration of my participation in the programs, I hereby release, waive, and discharge West Coast Women’s Permaculture Group (WCWPC) and all of its instructors, employees, officers, directors, agents, sponsors and volunteers from any and all liability to me, and to all my legal representatives, assigns, heirs, and next of kin for damage and injury to me or to any person or property arising out of my participation in the program, and of future use of materials and other objects created during this trip, whether on WCWPC properties, private or public properties. This agreement includes but is not limited to claims or demands on account of injury or damage caused or allegedly caused by the negligence of WCWPC or any of the individuals listed above. WCWPC has the right to use student drawings, journal excerpts, video and any photos takenduring the field day for promotional purposes for itself and affiliates. I HAVE READ AND FULLY UNDERSTAND THE PROGRAM DETAILS, THE WAIVER AND RELEASE OF ALL CLAIMS FOR PARTICIPATION IN THE WCWPC PROGRAM. Apolonia PaulusseAug 6 51_______________________________________ ________________________ Participant Signature Date Check this box to not be photographed for publicity.--- On Mon, 4/13/09, ca...@sbwest.net <ca...@sbwest.net> wrote: |
Penelope Livingston
I have been really busy and have been trying to find information like
directions and such about the gathering.
Do you know where I can get a confirmation about what to bring,
schedule, directions etc?
If it's on the google-group thing, I won't be able to access it. That
format is too cumbersome for me to navigate through during this busy
time.
If you can help me out that would be great.
Mahalo!
Penny