October 19th Fall Celebration Registration
Name
*
First Name
Last Name
Email
*
example@example.com
I have read and accept the terms of the liability waiver and photo release posted at: www.niwothomestead.farm/events-calendar/high-plains-permaculture-liability-waiver/
*
I Agree
Dietary Requirements
*
I don't plan to join for brunch
Gluten Free
Vegetarian
Dairy Free
Vegan
Other
Would you like to join our quarterly newsletter?
Yes
No, or I am already on the list
Suggested Donation ($10-$60)
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( X )
USD
Description
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Submit
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