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Hooray for ECOTOPIA! (Registration form to follow) A conference from August 27 to 31 at the Waldorf School site in Lunenburg County. Age guideline: 16 -24 (but we can stretch the age if there are older people interested) Our focus is on sustainability, in our lifestyles, how we educate others and ourselves and in action (community and otherwise). The content of the conference is growing right now, because it needs to be relevant, useful and exciting for those who come and participate. We will be doing some actions, some service learning. , as well as having workshops and delicious discussions and celebration! We will be fully bike mobile. All the food at the conference will be organic. The cost (which includes lodging (teepees) and food and anything else you may need while at Ecotopia) is $125.00 and we have money available to those who are financially restricted. If you have any suggestions about what you'd like to see happen at Ecotopia and/or you would like to attend, please email Sarah Mangle at ohyea@snail-mail.net, or call the Heartwood office at (902) 543 8531. To register, send us an email, or call us, and wešll send a registration package in the mail, or fill out this form and e-mail it to us at ohyea@snail-mail.net. Have a great day! Ecotopia Program Registration Name ___________________ Address ________________________ ___________________________________ ___________________________________ Gender: __ Male __ Female Date of birth (m/d/y) _______________ Health Card # _____________________ phone #_____________ Home: _________________________ Work: _________________________ In case of emergency during the program contact: (Name)_____________________ Home # ________________________ Work # _________________________ How did you hear about HeartWood? __ Previous program __ School __ Parent __ other __ Friend How did you hear about Ecotopia? __ Parent __ Youth for Environmental Action __pamphlet __Friend __ other __ non-governmental organisation Would you like information about other people travelling from your area? __ Yes __ no thanks, I've got my own motorcycle Ecotopia will be travelling by bicycle during the week; as well we are planning on having a bicycle Fix- up workshop. If you do not have access to a bicycle- don't worry we will make sure you will have a bike to use for the week. __ I need a bike for Ecotopia __ I need a bike helmet for Ecotopia __ I have access to a bicycle and a helmet and can bring it to Ecotopia. __ I have access to __ (enter amount) extra bikes and __ (enter amount) helmets and can bring them for other people at Ecotopia __ I have extra bikes but need help transporting them to Ecotopia. I give Heartwood permission to use photographs of me from Ecotopia in promotional publications __ yes __ no __________________ ______________ signature date The cost for each participant to attend Ecotopia is $125.00. This covers five days of organic food meals and accommodations, and everything else we will be using at the conference. We are committed to not letting this amount of money restrict anyone from attending. We have fundraising resources, as well as other possible funding routes to take. Please let us know if you need financial help. If you can afford to help others attend Ecotopia, either through group fundraising initiatives, or Personally donating money, you are welcome to. A tax receipt will be issued for all donations. __ $10 __ $25 __$50 __$75 __$100 Other ______
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