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*

December 11-18,2021January 15-22,2022February 12-19,2022March 5-12,2022April 9-16,2022May 28-June 4,2022July 2-9,2021August 6-13,2022November 19-26,2022December 10-17,2022Other
Rooming preference*

Single (US$500 supplement)DoubleUndecided
Name*

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

Country CodeArea CodePhone Number
Alternate Number

Country CodeArea CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Passport number*
Expiration date*

MonthDayYear
Country of issue*
Date of birth*

MonthDayYear
Date
Arrival date

MonthDayYear
Date
Departure date

MonthDayYear
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 NameLast Name
Relationship*
Emergency Contact #1 Email*
example@example.com
Emergency Contact #1 Phone Number*

Country CodeArea CodePhone Number
Emergency Contact #1 Alternate Number

Country CodeArea CodePhone Number
Emergency Contact #1 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency contact #2

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

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

Country CodeArea CodePhone Number
Emergency contact #2 Alternate Number

Country CodeArea CodePhone Number
Emergency contact #2 Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
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