Workshop Registration

* required fields

* Workshop:
* First Name:
* Last Name:
  Company:
* Address 1:
  Address 2:
* City:
* State/* Zip:   
  Country:
* Home Phone:
  Cell Phone:
* E-mail:
  Primary Interest: Landscapes   Wildlife   Macro   Other
  Specify if Other:
  Level of Experience:
Photography (1 low, 10 high)
1   2   3   4   5   6   7   8   9   10
Digital Work Flow (1 low, 10 high)
1   2   3   4   5   6   7   8   9   10
  How did you find out about this workshop?
 
  Specify if Other:
  Will you bring your own camera?
Yes   No   Not Sure Yet
  If so, what brand?
Canon   Nikon   Olympus   Pentax   Sony   Other
  Specify if Other:
  Will you bring your own laptop?
Yes   No   Not Sure Yet
 
* Please check Yes below specifying that you understand and agree to the following terms concerning standard accommodations.
I realize that standard accommodations are shared dorm and/or cabin rooms. Guests are asked to bring their own sheets, blankets, towels, soap, and shampoo. A limited number of private rooms with shared bathrooms may be available for an additional fee. If you wish to have a private room, early registration is recommended. Please call or email FitzSimmons Photography to check on current private room availability.
Yes   No
 
* Please check Yes below specifying that you understand and agree to the following terms.
I understand that the workshop runs from approximately 5 PM Friday afternoon until approximately 1 PM Sunday afternoon. The leaders may decide to offer an early bird session on Friday afternoon prior to the 5 PM start time. Workshop registration does not include transportation.
Yes   No
 
Yes   No
 
  What do you hope to learn at this workshop?
 
  Do you have any concerns or questions?
 
* I have read and agree to the Terms and Conditions for this workshop.
Yes   No
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   What is the sum of 2+7?
   
         

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Copyright © David Fitzsimmons   Bellville Ohio   (419) 892-2900