Participant Information

Please fill out the information below to register. * Indicates a required field.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Please sign me up to receive the Happy Dancing Turtle e-Newsletter

How did you hear about this year's event? Please check all that apply. *

Which radio station did you hear an advertisement on?

Which newspaper did you see an advertisement in?

Refer-A-Friend Reward! If you have attended Back to Basics in the past, tell a friend or family member about our event! If they register and mention your name in the "referred by" box below, we'll put both of your names into a drawing for a prize!

Is this your first time attending Back to Basics? *

Yes

No

I was referred by (first & last name):

As a previous attendee, have you utilized any of the knowledge/skills you've gained from Back to Basics to live a more sustainable life? *

Yes

No

Please tell us more. Your input will play an important role in program evaluation.

Registration Information

You may register for the "Full Day", which includes four workshops and lunch, or you may register "Ala Carte". Choose "Ala Carte" if you cannot attend the full day or would like to make your own lunch arrangements.

Please choose one of the following registration options: *

Ala Carte

Full Day Adult - $35

Full Day Senior (60+) - $30

Full Day Student - $30

Name of Institution: *

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