2012 Registration

Name

Phone

Email

Mailing Address

INTERESTS and PROCLIVITIES

The work will be divided into several different crews: Painting, Bike Repair, Plumbing, Grounds, Archive/Media, Office, Kitchen, Childcare, Structural, Transportation, Refuse and Re-use, Party Patrol, Special Projects, Garden, Healthcare, Massage, Set-up and Breakdown

Please provide a brief description of skills or desires you have, that draw you toward certain crews:

What crew(s) would you like to be a part of?

Work Hard is a skill-sharing experience. If you have skills to put to use, please think about doing so. If you want to be on a crew in order to learn more about a subject, name that too.

Ist Choice Crew

2nd Choice

3rd Choice

Dietary Needs: If you are vegan, gluten-free and/or soy-free, please provide clear information about what that means for YOU (For example, is tamari in a sauce ok or not? Honey? )

Please choose one:

Egg Salad with glutenous bread

Tofu/Tempeh Salad with glutenous bread

Tuna Salad with glutenous bread

Egg Salad with gluten-free bread

Tofu/Tempeh Salad with gluten-free bread

Tuna Salad with gluten-free bread

None of the above

What kind of childcare do you need?

Do you have physical limitations we should be aware of?

(i.e. lifting, standing for long periods of time, wheelchair accessibility, sleeping needs etc.)

Will you need transportation from the airport, bus, or train station?

Please note: there will be limited shuttles daily to and from IDA.

Please make your travel plans accordingly and let us know as soon as you can when you’ll be arriving.

Yes

MONEY

Work Hard/Stay Hard is a collectively-funded gift to Ida. In order to achieve our budget of $16,000 we are asking each of you to commit to raise an amount you feel is doable. This could be $60 or $600; we’re hoping for an average of about $200 per person. ( Please see our website for fundraising strategies.)

Deposits can be made through PayPal on our website, or send checks or money orders payable to Work Hard Stay Hard.

Send banking mail to: Rath Skallion

4725 Baltimore Ave.

#2R Philadelphia, PA 19143

How much money will you raise?

Tell Us More!

Anything else you want us to know? Needs? Questions?

2012 Registration

Name

Phone

Email

Mailing Address

INTERESTS and PROCLIVITIES

What crew(s) would you like to be a part of?

Dietary Needs: If you are vegan, gluten-free and/or soy-free, please provide clear information about what that means for YOU (For example, is tamari in a sauce ok or not? Honey? )

Please choose one:

What kind of childcare do you need?

Do you have physical limitations we should be aware of?

Will you need transportation from the airport, bus, or train station?

MONEY

Tell Us More!

WORK.HARD.STAY.HARD

Blogroll

2012 Registration

Name

Phone

Email

Mail­ing Address

INTERESTS and PROCLIVITIES

What crew(s) would you like to be a part of?

Dietary Needs: If you are vegan, gluten-free and/or soy-free, please pro­vide clear infor­ma­tion about what that means for YOU (For exam­ple, is tamari in a sauce ok or not? Honey? )

Please choose one:

What kind of child­care do you need?

Do you have phys­i­cal lim­i­ta­tions we should be aware of?

Will you need trans­porta­tion from the air­port, bus, or train station?

MONEY

Tell Us More!

WORK.HARD.STAY.HARD

Blogroll

Mailing Address

Dietary Needs: If you are vegan, gluten-free and/or soy-free, please provide clear information about what that means for YOU (For example, is tamari in a sauce ok or not? Honey? )

What kind of childcare do you need?

Do you have physical limitations we should be aware of?

Will you need transportation from the airport, bus, or train station?