(Limited space available ‚Äď email completed form to email@example.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:
SHELLY, ID: ¬†April 16-21, 2018 _____ ¬†
COST: ¬†$500.00. ¬† $200 discount if paid by¬†February 28, 2018.
(Payment to be sent to firstname.lastname@example.org by PayPal or mailed to FFEF, 4977 South 11th East, Idaho Falls, ID 83404)
NAME__________________________________________________________ SEX M F
ADDRESS_____________________________________ CITY___________________ STATE______
ZIP_____________ PHONE (¬†¬†¬†¬†¬†¬†¬†¬†¬†¬†¬†¬†¬† )_________________
EMERGENCY CONTACT________________________________PHONE ___________
INSURANCE: YES__ NO__
INSURANCE COMPANY________________________ POLICY NUMBER________________
SPRING¬†SHELLEY, IDAHO MITTLEIDER GARDENING CERTIFICATION TRAINING – Including classroom, lab/workshop, and garden training and instruction in The Mittleider System of family food production – BUT NOT food and lodging – from Monday 8 A.M. until Saturday at 5 ¬†P.M..¬† Gardening tools, equipment and supplies will be provided for students‚Äô use, but will remain at the school.¬† Student should bring or purchase The Mittleider Gardening Course book as well as note-taking materials. Students will eat their meals at home and will bring their own sack-lunches or purchase in Shelley each day.
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___ ¬≠¬≠¬≠¬≠¬≠¬≠