Your Name *

First Name

Last Name

Phone *

Best number to contact you at:

Country

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Alternate Phone Number

Alternate phone number:

Country

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Gender: *

Female

Male

What Are Your Photographic Goals For This Workshop?

Check as many as apply.

Improve Composition

Learn to better "see" the light

Learn better use of natural light

Learn how to better tell a story with my images

Create more compelling images

Gain a better understanding of the photographic process

Other (Use space below)

My Main Camera System is: *

Canon

Nikon

Sony

Other

I will be shooting: *

Digital

Film

Both

Emergency Contact Information *

Please supply the name and contact information for the person you would like us to notify in the event of an emergency.

First Name

Last Name

Emergency Contact Phone Number: *

For the U.S. enter country code - 1

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Alternate Emergency Contact Phone Number:

For the U.S. enter country code - 1

Country

(###)

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