Nature Macro Photography Workshop in Costa Rica

Nature Macro Photography Workshop in Costa Rica
Registration Form

A non-refundable deposit of US$ 350 is required at the time of registration to secure a place in the Workshop
Workshop date *

February 13-20,2021 March 20-27,2021 June 19-26,2021 July 17-24,2021
Rooming preference *

Single (US$500 supplement) Double Undecided
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Alternate Number

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Passport number *
Expiration date *

Month Day Year
Country of issue *
Date of birth *

Month Day Year
Date
Arrival date

Month Day Year
Date
Departure date

Month Day Year
Date
Flight info
Please provide your complete flight information: carrier, flight number, dates and times (including any connecting flights) for your arrival to and departure from San José International Airport.
Emergency contact #1

Please provide the emergency contact information for someone not traveling with you on this tour.
Emergency Contact #1 *

First Name Last Name
Relationship *
Emergency Contact #1 Email *
example@example.com
Emergency Contact #1 Phone Number *

Area Code Phone Number
Emergency Contact #1 Alternate Number

Area Code Phone Number
Emergency Contact #1 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Emergency contact #2

Please provide the emergency contact information for someone not traveling with you on this tour.
Emergency contact #2 *

First Name Last Name
Relationship *
Emergency contact #2 Email *
example@example.com
Emergency contact #2 Phone Number *

Area Code Phone Number
Emergency contact #2 Alternate Number

Area Code Phone Number
Emergency contact #2 Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Dietary restrictions *
Describe any diet preferences or restrictions that you might have. This field is required to submit your form, if you have no dietary restrictions or preference, please type "none" in the form field.
Health issues *
List any health issue you feel to be relevant to your travel, including any medication allergies. This field is required to submit your form, if you have no health issues, please type "none" in the form field.
Comments / Questions
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Nature Macro Photography Workshop in Costa Rica

Registration Form