Cloudburst Cultivated Ecology/Clearlight Permaculture Design

Course Application

Cloudburst Cultivated Ecology


19 Elm Street, Suite 11, Glens Falls, NY 12801


Permaculture Design Certificate Course

At The Peace-Atorium

Balston Spa, NY

From April 7 – July 7, 2012



Registration Form 





Name:______________________________________( as it will appear on the certificate)





Gender:_________ Age_______Phone:_____-_____- ______


Accommodation Information Required: ______




Applications should be sent with $100 Deposit ~~ Thank you






We need to know the best method of communicating with you.

· How did you did you hear about us?

Please answer the following questions (one page):

1. Please describe your previous experience, if any (gardening, farming, green building, alternative energy systems, organizing, etc.)

2. What is your interest in this course, and how will this education assist you in the future?
3 Put in to words, briefly what is your background? ( ie: professional/educational)

Please enclose your $100 non-refundable deposit with your application.   Make checks out to Cloudburst Cultivated Ecology.  Thank you.

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