The Michael Seewald Photographic 'Fun-shops' Please print and fill this out, then take a photo of it (probably two pages) and text it to Michael at 858.245.0485 |
YOUR first and last name: _________________________________________________________ Your mailing address... Street__________________________________________________ City: ___________________ State: _______________ Zip: ___________ In case we have to contact you last minute about class changes. Cell: ________________________ Home: _______________________Work: ___________________________ E-mail address: __________________________________________________________ Interest questionnaire: I would rate my abilities as: __Beg. __ Intermed. __Adv. My instruction in art (photography) has included: [ ] High School Class [ ] College Class [ ] Mainly looking at magazines ;/) And/or other workshops, by ________________________________________________________________________________________________________ Camera equipment I use: ________________________________________________________________________________________________________ Note: You will need a tripod WITH a ball head for SOME classes. My favorite subjects to photograph are: _______________________________________________________________________________________________________ I found out about this workshop thru: ________________________________________________________________________________________________________ My Profession: ________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________________________ Please list any health issues the Seewald's should know about, such as bad back, heart condition, knee/leg problems, etc. (in case we have to hike steep hillside towns in Yosemite, Carmel, etc..), or medications that may be needed to be taken while on the workshop, etc.. ________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________ In case of an emergency please contact: Your approximate age? ___under 20___under 20___21-30 ___31-40 __41-50 __ 51-60 __ 61-70 __ 71-80 __ Over 80 **************************************************** Payment: If we already have the number no need to fill this part out! Three day class: deposit of $200 is required to reserve your class and the balance is automatically charged to the card 2 weeks prior to class (unless arranged otherwise in writing) for San Diego classes and 60 days before all others. If it's now within three weeks, we will ring up the class in full. The one day portrait class is $295, we ring up $100 deposit and the balance two weeks prior to the class. If it's within three weeks at this point, we will charge the whole amount. (Feel free to call in the number if you’d rather). Full name as it appears on card: _________________________________________________________ [ ] Check here if THE BILLING ADDRESS for the card is the same as above address, otherwise enter it below. **************************************************** Cancellation Policy Because we sometimes rely on student attendance in order to schedule instructors, book essential travel arrangements, acquire permits and arrange lodging discounts, and limit class size to better serve all, we must adhere to the following policies for all students: San Diego class cancellation policy as of 1.1.'11. 14 or more days before class, a certificate good for a future class will be issued (good for one year). With less than 14 days before class: No refund nor certificate will be issued. Not responsible for medical emergencies. Class held rain or shine. 'Never a complete loss' policy! It is understood that Michael or Valerie Seewald (the Seewald's) or any of their employees shall have no responsibility or liability for personal injury to any participant or damage to any participant's property, or for personal injuries or damage to the property of any other person resulting from the participant's involvement in any workshop. The Seewald's shall have no responsibility for the acts, errors or omissions of their actions or their helpers, transportation companies, lodging facilities, restaurants, tour guides, or other providers of services to participants in the course of these classes. Any questions please call us at 858.793.3444
Thanks for your quick response, Valerie Seewald |
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