Keep in touch

Application Form

Thanks for showing your interest in this movement. Please feel free to fill in the application form below. It will keep you in the loop for any upcoming courses, workshops, talks, etc. There are some personal questions in the form. Just answer them as honestly as possible. There are no wrong answers, only true representation of yourself. Have fun and hope to meet you all soon!

Your Details

First Name

Last Name

Date of Birth

Street name and number

City/suburb

State

Country

Post code

Contact Information

Email *

Phone Number *

Gender

Select

Occupation

Photo of you in your favourite place

Emergency Contact

Name

Number

Relation to you

Your Transportation

Which session do you wish to attend?

What does community mean to you?

If you could leave this planet with one phrase, what would it be?

What skills do you have to bring to the experience? (don't worry, skills aren't essential)

How do you hope to take what you have learned back into your world?

Anything you'd like to add or ask?