For which workshop are you registering?
Name (on your passport) *
Name (on your passport)
Address *
Address
Birthdate *
Birthdate
Passport expiry date *
Passport expiry date
Room/Accommodation preferences *
Any physical health conditions/concerns or limitations? *
Name of Emergency Contact *
Name of Emergency Contact
Address of Emergency Contact
Address of Emergency Contact
I/we have read the Terms and Conditions which apply to this tour. Especially noting the policies on price, cancellation, health, responsibility and trip insurance.
Date
Date

TO REGISTER, PLEASE FILL OUT FORM  ON THIS PAGE AND SUBMIT

PLEASE PAY YOUR DEPOSIT  OF $800 via check to:

Laurie Watters Nassif
3329 E. Bayaud Ave. Apt. 1505
Denver, Colorado USA
80209
checks should be made payable to: Cousins Photo Tours LLC

 ANY QUESTIONS or MORE INFORMATION
PLEASE CONTACT US AT:
laurie@cousinsphototours.com
303-601-5089

Thank you!
Looking forward to traveling the world together!