Registration for Mittleider Gardening Certification Training – April 3-8 or May 8-13, 2017

Mittleider Gardening Certification Training

REGISTRATION FORM

(Limited space available ‚Äď email completed form to jim@growfood.com – 100% Satisfaction Guaranteed)

Full Refund until 30 days before the event ‚Äď Cost $150 per person if cancelled within 30 days of the start date

REQUESTED GARDENING CERTIFICATION TRAINING  DATES  & LOCATIONS:

KIDDER, Missouri: April 3-8 or May 8-13, 2017

COST:  $750.00.   $200 discount if paid by March 31, 2017.

(Payment to be made online at www.growfood.com/shop, or sent to jim@growfood.com by PayPal, or mailed to FFEF, 4977 South 11th East, Idaho Falls, ID 83404)

NAME__________________________________________________________ SEX M F

ADDRESS_____________________________________ CITY___________________ STATE______

ZIP_____________ PHONE (              )_________________

EMAIL__________________________________________

EMERGENCY CONTACT________________________________PHONE ___________

INSURANCE: YES__ NO__

INSURANCE COMPANY________________________ POLICY NUMBER________________

MEDICATIONS:_______________________________ ALLERGIES:________________________

 

SPRING MITTLEIDER GARDENING CERTIFICATION TRAINING BOOT CAMP   Including classroom, lab/workshop, and garden training and instruction in The Mittleider System of family food production, as well as food and dorm-style lodging from Monday 8 A.M. until Saturday at 5  P.M..  Gardening tools, equipment and supplies will be provided for students’ use, but will remain at the school.  Student should bring or purchase The Mittleider Gardening Course book as well as note-taking materials.

PHOTO RELEASE   The undersigned hereby gives Food For Everyone Foundation and The Mittleider Preparedness University, their assigns, licensees, and legal representatives the irrevocable right to use his or her picture, portrait or photograph in all forms and media and in all manner, for the advertising, trade or in any other lawful purpose for the benefit of Food For Everyone Foundation and the Mittleider Preparedness University only.

CODE OF CONDUCT   The undersigned understands and agrees that all Preparedness University functions are to be free from the use or possession of alcohol or illegal drugs. Smoking is limited to outside the buildings only.  Violators will be asked to leave at their own expense. It is further understood that sexual harassment in any form will not be tolerated, including going in rooms of members of the opposite sex.

LIABILITY   The undersigned assumes all responsibility for his or her own health and well-being, and hereby releases the Food For Everyone Foundation and the Mittleider Preparedness University from any and all liability for injury or harm that might occur as a consequence of his or her attendance and participation in the Summer Gardening Training Boot Camp.

 

Signature_________________________________ Date___ ­­­­­­