Workshop Registration Form

Introduction to Aquaponic Gardening and Aquaponics For Everyone  Workshop Registration                 

If you have difficulty with this form, please send us an e-mail and we can send this to you in a Word Document attachment to fill out and return.    

Session date: Sept. 25, 2014 Thursday

      Please cut and paste this page if e-mailing registration.  Or print it if mailing it to us. Class details are on our main Events page: https://freshfromthefarminthegorge.wordpress.com/workshops-and-events/

When:  Two sessions to choose from.  Sept. 25th, 2014

Intro To Aquaponic Gardening  5:30- 6:30pm

Aquaponics For Everyone  6:45-8:45pm

Where: Goldendale Swimming Pool Meeting Room, Goldendale, WA 98620 in the downstairs room. .

See supply list below for items students need to bring to class for the Aquaponics For Everyone session .

Circle the session you plan to attend:

Intro To Aquaponic Gardening  (1 hour class) begins 5:30pm.

Aquaponics For Everyone  (2 hour class) begins 6:45pm.

Name of person registering:___________________________

Mailing address:________________________________________________________ Phone number to reach you at in case of cancellation:______________________  E-mail we can reach you through, to confirm supplies you will be bringing to class ____________________________________________________________

You can return the completed application with payment to us in the mail. Or you can send this completed application to us in an e-mail, and get the registration fee to us via US Mail or in person.

Please indicate below which method you prefer to use:    Payment enclosed Personal Check [ ] Money order [ ] Cash [ ]    Checks/money orders payable to Deanne Converse

I am returning this completed application to you through e-mail and will send my class registration payment to you through : US Mail [ ] – or – in person [ ]

Cost Of class:  Intro To Aquaponic Gardening   $30 per person

Aquaponics For Everyone  $45 and  Cost of supplies: $10 .  Individuals registering to work as a group on one aquaponics system together pay one supply fee per group.*

Total Cost: $45 (class cost) + $10 (supplies fee) = $55*

Amount of payment enclosed :

For the Aquaponics For Everyone session:

Please check one: {   }  I will be building an Aquaponics Set during class myself           — OR–    {    } I will be combing with others to build an aquaponics set-up during class  their names are-_______________________________________________________ *one person in the group must include the supply fee with their registration.

Supply List : Per each Aquaponics set-up being built in class, students need to bring two Rubbermaid/Sterilite-type totes (any brand – but Rubbermaid Rough Neck totes work best). They must be a minimum of 12 inches deep and able to hold water. One tote should be 10 gallon capacity size or close (but not smaller). The other tote should be the same size or larger. Solid colored totes are preferable.  We found out that clear plastic totes in general are brittle and crack when being drilled, but they also encourage algae growth.

Please return this application via e-mail at waconverse@yahoo.com.   Contact us via e-mail if you have questions. There are a limited number of ‘scholarships’ available to those who would not be able attend without help – please ask us about this . Contact us if you wish to have a registration form sent to you via e-mail. If you have a questions, or need to speak to a real live person leave a message at 360-990-2466, and we will return your call.

If you are mailing your fee, or sending your fee and application to us, please mail it to :

Fresh From The Farm,   P.O. Box 815,     Stevenson, WA. 98648

Please make checks or money orders payable to Deanne Converse

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