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REGISTRATION FORM CYPRESS HILLS PHOTOGRAPHIC WORKSHOP (Print this form out and mail in with your cheque.) Make cheques payable and send your registration to: Wayne Inverarity 73 Read Avenue Regina, Saskatchewan Canada S4T 6R1 DATE: __________________ NAME: ____________________________________________ ADDRESS: ______________________________________________________ CITY: ________________________________________________ PROVINCE/STATE: _____________________________________ COUNTRY: _____________________________________POSTAL CODE / ZIP ___________________ TELEPHONE NUMBERS: HOME: __________________________OFFICE: ________________________ WHAT ELSE SHOULD WE KNOW? ______________________________________ _____________________________________________________________________ WHAT CAMERA/EQUIPMENT WILL YOU BE USING? _______________________ _____________________________________________________________________ Waiver of Liability The Tour will assume no responsibility or liability for personal injury to any participants or damage to property. The Tour reserves the right to cancel the workshop, and to alter the content or format if unusual circumstances arise. If cancelled the tour's liability extends to refund of fees. SIGNATURE:___________________________________ Email address:______________________________________________________ DATE: ________________________________________ Remember space is limited so register early! |