Rob
Kennedy Photography
2010 Photography
Workshop Registration Form
Registration is limited to 10
participants. There will be a waiting list when the workshop is filled.
Please complete this form and
send to:
Rob Kennedy
6-1855
Maple Ridge Drive,
Mississauga, ON
L4W 2N7
Name___________________________________________________
Address__________________________________________________
Postal Code________________________
Ph: ______________________________
E-mail
_______________________________________________________________
1- Day
February Blahs Feb 13th, 2010
5- Day
Algonquin Winterscape Feb 18 - 21st &
28th, 2010
1-Day
Creating in the Field
(Autoyard)
May 8th
, 2010
5-Day
Bruce
Peninsula
June 2-6th
& 13th
, 2010
1-Day
Summer Solstice
June 26th
, 2010
1-Day
Creating in the Field
(Autoyard)
July 10th
, 2010
1-Day
Short & Sassy
(Wide-angle)
Sept 11th
, 2010
1-Day
Urban
Cityscapes
Sept 19th
, 2010
(Meals and lodging not included)
Please check one:
□
I have enclosed $85.00 as payment in full
for the 1-day workshop.
□
I have enclosed $250.00 / $ 350.00 as payment in full for each
workshop.
□
I have enclosed a deposit of $85.00 (non-refundable) to insure my place
in the workshop with the remainder to follow 30 days prior to workshop.
Waiver of Liability
I agree that during this
workshop, Rob Kennedy and his agents shall not be liable or responsible for
any claims or damage arising from personal injury to any participant or other
person or for any damage, loss or theft of personal property of any
participant or other person, however caused. Rob Kennedy reserves the right to
alter the time, context or format of the workshop to suit the needs of the
participants should circumstances require.
Signed
_______________________________ Date
________________________
Please
complete and sign this form along with payment as per above.