Earth School Registration & Check Payment Form               Close Window X

Select the program below BEFORE printing
Print 2 copies
- one for us and one for your records
Complete the form, sign and date it.
Mail the signed form with payment to:
Earth School
224 Thompson St. #255
Hendersonville, NC  28792
Select Program
Names and ages
Address 1                                                                                                                         
Address 2                                                                                                                         
City                                                                                             ST                        Zip                                     
Home phone                                                                                                                         
Alternate Phone                                                                                                                         
Emergency Contact                                                                                                                         
Emergency Contact Phone                                                                                                                         
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Payment    Pay Course in Full                Pay Deposit(s) Only       

In all classes, demonstrations, and excursions conducted by RICHARD CLEVELAND, EARTH SCHOOL, (hereinafter, EARTH SCHOOL), and Richard Cleveland, individually, reasonable care is taken to prevent serious injuries and to minimize accidents. The STUDENT states that he/she is fully aware that survival, tracking, awareness and philosophy training, even under the safest conditions may be dangerous, and the STUDENT hereby agrees to accept full responsibility and assumes all risks, including those caused by an act of God, injury, death, and/or loss to his/her person and/or property knowingly and voluntarily. The STUDENT agrees to obey the rules and regulations that EARTH SCHOOL puts into effect to minimize these risks.

The STUDENT knowingly, voluntarily, and irrevocably waives any and all past, present, and/or future injuries, death, loss, including those caused by acts of God, received while participating in activities conducted by EARTH SCHOOL as a student, participant, spectator, and/or visitor, or in any other manor or form, taking part in the exercised, practices, excursions, and/or demonstrations of said survival, tracking, awareness, and philosophy training. The STUDENT accepts all responsibility for any injury, death, and/or loss to his/her person and/or property, including acts of God, for the rigors and dangers inherent in the undertaking. The STUDENT releases to EARTH SCHOOL rights to use any photograph or video taken while participating in said survival, tracking, awareness, and philosophy training, to be used as deemed by EARTH SCHOOL including advertising.

My signature below indicates my acceptance the terms of this agreement and my desire to participate in the programs offered by EARTH SCHOOL.

SIGNATURE                                                                                                       DATE                                              
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Week-long courses require a $300- $400 minimum deposit.
All other courses require a $100 - $200 minimum deposit. (Deposits vary depending on the program) Visit our programs page to find the appropriate deposit for your program. Please all checks "MUST" be made payable to "Richard Cleveland"
Balances for classes are due ONE WEEK BEFORE the first day of all programs. An invoice will be sent to you via PayPal
All deposits are Non-Refundable
If unable to attend a registered course, students may transfer their deposit to a different course one time only.


The Deposit Portion of your payment is non-refundable. Should you cancel, you may apply your deposit (one time only) to another program, of your choice, within one year of your original class date. Students who are required to leave a program, for any reason, after it has begun will not be entitled to a refund.

Richard Cleveland reserves the right to cancel any camp or course, at any time, for any reason. In this case a full refund will be given. Earth School is not responsible for any expenses, including airfare, that you may incur due to a cancelled program.

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