Permaculture Design Course Registration

Please fill out the form below to apply for the permaculture design course at VerdEnergia. Fields marked with an asterisk* are required. Please allow our team a day or two to respond to your registration and send your invoice. We look forward to meeting you!

"*" indicates required fields

Step 1 of 3

Name*

First Last

Email Address*

We will never share your information.

What are your pronouns?*

She/Her

He/Him

They/them

Other

What pronouns do you use?*

Do you have Whatsapp or Signal?*

These apps make it easier for us to get in touch with you, but they aren't required! Check all that apply.

Whatsapp number

Signal number

I don't have either

Phone number*

Please enter the phone number associated with your whatsapp/signal account. We will never share your information.

Which Permaculture Course are you registering for?*

Will your Permaculture Course be used for school credit?*

About You

Where do you live?*

Please indicate your country of citizenship or legal residency. This determines the base price of your registration. We also review this information when considering scholarship candidates.

What country is on your passport or travel documentation?*

Please indicate your country of citizenship or legal residency. We review this information when considering scholarship candidates.

How well do you speak Spanish?*

While this course is taught in English, one of our main instructors is fluent in both Spanish and English, so students with medium English language skills but strong Spanish can also attend.

How well do you speak English?*

While this course is taught in English, one of our main instructors is fluent in both Spanish and English, so students with medium English language skills but strong Spanish can also attend.

What is your exposure to Permaculture? Why do you want to learn about it?*

Tell us more about yourself. What are your interests and passions? What are your relevant skills and experiences?*

How do you feel about living in a rural tropical environment without some of the amenities (hot water, consistent internet access/phone signal, etc.) that you may be used to?*

Have you lived in a community or a group housing situation before? If so, what was it like for you?*

What inspired you to take a course at VerdEnergia? What do you hope to gain from your experience with us?*

How did you hear about us?*

What is your normal diet?*

Your selection will not affect the cost of your stay.

Please describe your normal diet.*

Please understand that we may not be able to accommodate very restricted diets.

Do you have any serious medical conditions, allergies, or communicable diseases?*

Please list any medical conditions such as seizures, serious food, sting, or medical allergies, or communicable diseases that could affect others in the community. Please understand that this is for your safety. The nearest hospital is about 2 hours away and farm staff is not equipped to monitor serious medical issues.

How would you describe your mental health? Do you have any history of mental health issues?*

Please understand that living in a remote small community like ours can be difficult for individuals with mental health challenges, and unfortunately, we do not have any mental health services on-site or in our local vicinity. This information is kept confidential.

Please list any pharmaceuticals that you take.*

Please understand that not all pharmaceuticals are available or even legal in Costa Rica. Please plan accordingly. This information is kept confidential.

Your Emergency Contact

Please enter the contact information of a family member or next-of-kin that can legally act for you in case of a medical emergency*

ex: Jane Doe

What is your relationship with this person?*

ex: Mother

Emergency Contact Email*

ex: [email protected]

Emergency Contact Phone Number*

ex: +5 (555) 555-5555

Emergency Cash Requirement*

I agree to bring at least $300 USD (or the equivalent CRC) cash with me in case of an emergency.

PRICING & SCHOLARSHIPS

How would you like to get to VerdEnergia?*

Exact price of transport depends on availability and carload size. This estimated fee will NOT be calculated in your total below.

Would you like to find out more about upgrading to a private room?*

Room upgrades are an additional fee and based on availability. This estimated fee will be calculated in your total below.

Would you like to include a donation to our scholarship program?

Scholarships allow people to attend who would not otherwise be able to and benefits everyone from an increase in diversity of experiences. The suggested scholarship contribution for those who are able is on a sliding scale of $50-$400. If you are unable to contribute, please leave the field blank.

Would you like to be considered for a scholarship?

We offer the ability to apply for partial or full scholarships. Please check all that apply.

I am a Costa Rican citizen who intends to use what I learn to help Costa Rica’s environment and people.

I am an environmental and community building activist or grassroots organizer working in the Global South and/or with marginalized communities.

I am from one or more historically marginalized groups, such as indigenous/First Nations peoples and/or people of color.

I have a particularly compelling reason why I will add something special to the group, as well as financial need.

I do not need to be considered for a scholarship.

Can you tell us more about yourself, your background, and why you would like to be considered for a scholarship?*

Terms and Conditions*

Community agreements are available here. Frequently asked Questions are available here. here. VerdEnergia reserves the right to reject any registration or cancel the course. If VerdEnergia were to cancel the course, proper notice would be given at least 1 month before the course, and payment (including deposits) would be refunded.

I have read and understand VerdEnergia's Frequently Asked Questions and Community Agreements. I understand that my deposit is non-refundable if I decide not to come. I am at least 18 years of age.

Newsletter

Select this field to be added to our mailing list. Our newsletter is sent on a quarterly basis. We will never share your information with anyone. Add [email protected] to your contacts list to make sure our communications don't go to spam.

Sign me up to receive Verde's quarterly newsletters!

Estimated Total

No payment will be processed at this time. This number is an estimate for your reference. Once your registration is reviewed, a team member will send your total quote, deposit request, and payment options via email.

This field is for validation purposes and should be left unchanged.

Visit Us

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With the principles of Permaculture as our guiding tool, we seek to transmute the challenges facing our communities into replicable solutions. Our work enables us to find right livelihood through the regeneration and gentle cultivation of the forest we are honored to call home.