<p> The 2018 Kinsler Institute Digging In: Heels, Histories, Hearts</p><p>Mon. Feb 19 - Fri. Feb 23, 2018 Ventura River Watershed, CA</p><p>Participant Registration Form Please print clearly or type (one form per person): *Items with asterisk are required, all others are optional Or use the online registration form at https://goo.gl/forms/cVgGMxkZXqMsaEwx1 Full Name:*</p><p>E-Mail Address:*</p><p>Mailing Address: *</p><p>City: * State/Prov: *</p><p>Country: * Zip/Postal Code: *</p><p>Racial/ethnic identification: Preferred Phone: *</p><p>Gender identification: Age: Pref. pronoun: </p><p>Group Affiliation (circle all that apply): student activist educator church other______</p><p>Organizational Sponsor (if applicable):</p><p>Religious Denomination or Affiliation:</p><p>I would like to room with: </p><p>Food: Do you have any food allergies, dietary requirements or other needs our kitchen needs to be aware of? (The kitchen is nut-free and vegetarian and vegan options are available) </p><p>Mobility needs (all buildings we will be using are wheelchair accessible but there is an upper and lower campus with a long walkway/stairs between – car-rides between upper and lower can be easily arranged):</p><p>Anything else we might need to know:</p><p>Institute will take place at Forest Home Camp, 655 Burnham Road, Oak View, CA 93022</p><p>The 2018 Kinsler Institute - Digging In: Heels, Histories, Hearts Transport: please refer to our Transport Guide.</p><p>We can provide a ride only from Ventura County Airporter Shuttle or Ventura Amtrack Station.</p><p>__Require pickup from Ventura on Monday, Feb 19 Time:</p><p>__Require drop off in Ventura on Friday, Feb 23 Time:</p><p>If you are travelling by CAR and would be prepared to provide a RIDE SHARE from LAX or another SoCal location please let us know your travel plans – we will try to organize ride shares for participants arriving at similar times:</p><p>Coming to Institute from: Eg LAX, Burbank airport etc</p><p>Approximate time leaving:</p><p>Departing Institute on (day/time): No. Spaces (person + luggage)</p><p>Returning to:</p><p>Registration Fees Refer to page 3 for Registration Package explanations (circle the relevant amount/s) For images and video of campus accommodation and facilities, see: Regular – registered and paid before 26 Jan 2018 www.foresthome.org/guest-group/ojai-valley/ Pay by check Pay by PayPal Motel Single $785.00 $803.00 Motel Double $635.00 $650.00 Cabin BYO linens, towel, pillow $460.00 $470.00 Tent house BYO linens, towel, pillow $385.00 $395.00 Commuter – (own accommodation) $385.00 $395.00 Are you a Local? Ask about our special Ventura County residents discount before you register! Day rate (Check days you will attend) O Tues O Wed O Thur $130.00 $133.00 Children < 5: $25/day or $105/week $115.00 $120.00 Children 5 to 18: $45/day or $200/ week $220.00 $225.00 Optional Donation to Scholarship Fund Late registration fee after 26 Jan 2018 (+10%) (+10%) Total amount due: Make check payable to Bartimaeus Cooperative Ministries (U.S. funds only); mail with registration form to: BCM, P.O. Box 328, Oak View, CA 93022. For credit card/PayPal payments you will need a PayPal account. Go to www.paypal.com and make your payment to: [email protected] – please ensure you pay the surcharge prices (prices above are rounded) and email or mail your registration form to us. Questions? Call us at: 805-836-1217 or email: [email protected]. The 2018 Kinsler Institute - Digging In: Heels, History, Hearts</p><p>Registration Packages: All accommodation packages include 11 meals (Mon dinner-Fri breakfast) and instructional materials. Late registration after 26 January 2018 will incur an additional 10% fee – Registration closes Feb 2nd</p><p>Motel Rate at the Oak Ridge Inn (limited spaces available)  $785 per person (single occupancy); by request, pending availability. Includes Mon–Thurs nights accommodations. (Note: Please do not try to book directly with the Inn; we’ll be booking block rooms at a special rate; if you wish to view the rooms go to www.oakridgeinn.com.) Daily shuttles between the Oak Ridge Inn and Forest Home will be provided in mornings and evenings. You may arrange your own transport: it is about a 30 minute walk, 10 minute bike ride or 5 minute car ride (there are two hills on the way back from Forest Home to the Oak Ridge Inn).</p><p>Cabin Rate (see pictures www.foresthome.org/guest-group/ojai-valley/ )  $460 per person: Shared cabin accommodation onsite at Forest Home (4 to 6 persons in bunk beds per room, heated accommodation, and indoor bathroom/showers). Must bring own sleeping gear (sleeping bag, pillow, towel).</p><p>Platform Tent Rate (see pictures www.foresthome.org/guest-group/ojai-valley/ )  $385 per person: Shared tent-style bunkhouse accommodation onsite at Forest Home (8 persons in bunk beds per tent, outdoor bathroom/shower blocks). Must bring own sleeping gear (sleeping bag, pillow, towel). If you prefer to use your own tent and camping gear on-site, let us know asap. Commuter Rate  $385 per person: For commuters or those who will make and cover your own accommodations in the Ojai Valley (e.g. the nearby Blue Iguana Inn, see www.blueiguanainn.com). Includes all meals. NB: You will need to arrange your own daily transport to/from Forest Home.  Please note: if you live in Ventura County, please contact us for a local’s discount on the Commuter rate. Day Rate  $130 per person per day (Tue-Thu only): Includes 3 meals/day (B/L/D); you will need to arrange your own daily transport to/from Forest Home. Children  Aged under 5: $25 per child per day / $105 for the full 5 days,  Aged 5 to 18: $45 per child per day / $200 for the full 5 days  A limited children’s program is currently under consideration – Parents please contact us if you want to help</p><p>NOTE: First come/first serve. To secure your spot at the above prices we must receive your full registration payment by January 26, 2018. Registrations after this date will incur an additional 10% fee. Payment must be made by check or money order in U.S. funds or by credit card through PayPal (add 3% to total).  REFUND POLICY: Full fee due at registration. If you cancel your registration by Jan 26, 2018 you will receive a refund minus a $30 non- refundable fee. If you cancel after Jan 26, 2018, refund depends on our ability to fill your spot.  ATTENDANCE: Late arrivals and/or early departures will be required to pay full fee. We produce our Institutes using as many local resources, and as little fossil fuel, as possible. Please help us support the environment and the local economy. </p>