Cloudburst Cultivated Ecology/Clearlight Permaculture Design

Course Application

Cloudburst Cultivated Ecology
19 Elm Street, Suite 11, Glens Falls, NY 12801  


 The course runs from February 26, 2011 – June 5, 2011 on alternate weekends.

Registration Form  

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


Gender:_________ Age_______  

Phone:_____-_____- ______  


Accommodation Information Required: ______  

Applications must be sent with course payment ~~ Thank you





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


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 when mailing your payment.

Checks should be made to Cloudburst Cultivated Ecology.





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