The Nature Institute
20 May Hill Road
Ghent, NY 12075
tel (518) 672-0116, fax (518) 672-4270
info@natureinstitute.org, www.natureinstitute.org

REGISTRATION
Winter Course for Farmers and Gardeners

Cultivating Perception and Imagination, February 25 to March 1, 2009

Please register me/us for the Winter Course for Farmers and Gardeners. 

Name _________________________________________________________

Address _______________________________________________________

City ______________________ State _________________ Zip ___________

Home phone ______________________ Work phone ___________________

Fax ________________________ E-mail _____________________________

Course Fee:  $420.   Check enclosed ___ or:

I hereby authorize The Nature Institute to charge my credit card for the
course fee.

Name on Credit Card ______________________________________________

Type of Credit Card (circle one): Master Card / Visa for the amount of ______

Card Number ____________________________ Expiration Date ___________

Signature of Card Holder ___________________________________________

Will you have your own transportation?

Would you like our help finding housing locally?

Some financial assistance is available through a grant from the Biodynamic
Farming and Gardening Association.  To apply attach an additional sheet
answering these questions.

  1. I request tuition reduction in the amount of $____
  2. How will this course help you?
  3. Please estimate your travel costs to and from The Nature Institute.
  4. Is there anything else you would like us to know about your request
    for assistance?

If you cancel you registration more than two weeks prior to the beginning of the course,
you will be reimbursed the course fee minus $50.  If you cancel less than two weeks
before the course begins you will be reimbursed 80% of the course fee.