Workshop Registration

Workshop Registration

To Register Yourself

To Register a Friend or Spouse

Your First Name:

Friend's First Name

Your Last Name:

Friend's Last Name

Your Email:

Friend's Email:

Your Address

Friend's Address

Your City

Friend's City

Your State

Friend's State

Your Zip Code

Friend's Zip Code

Your Day Phone

Friend's Day Phone

Your Night Phone

Friend's Night Phone

Please Apply

Please Enroll Me (Us) in the Workshop Session(s) as Indicated Below.

1st Summer Workshop August 10 - 16

2nd Summer Workshop August 17 - 23

1st Fall Color Wkshop October 5 - 11

2nd Fall Color Workshop October 12 - 18

I (We) understand rooming is on a first-come, first-serve basis.

If space is still available, please reserve a room for me (us) at the:

I will be camping at:

Rooming Preferences

I do not wish to have a roommate

Please assign a roommate if possible

Smoking

Non-smoking

I will be camping

I will be rooming with...

I perfer to share my room with

Once you have submitted this form, please proceed to our secure order line to finish registering for the workshop of your choice.
If you prefer, you may print this form and send with print out of secure order form to:

Gerlach Nature Photography
PO Box 642
Ashton Idaho 83420

For more information:
Gerlach Nature Photography
PO Box 642
Ashton, ID 83420 US
Email: michele@gerlachnaturephoto.com
(208) 652-4444

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