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| NEVERSINK PHOTO WORKSHOP APPLICATION |
| Please, print, fill out & sign, and mail with deposit to: |
| LOUIS JAWITZ |
| P.O. Box 641 Woodbourne, NY 12788 |
| 212-929-0009 or 845-435-0575 |
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| (Make check payable to Louis Jawitz) |
| Click here for printable PDF version of Application |
| NAME: |
| ADDRESS: |
| CITY:
STATE:
ZIP: |
| DAYTIME PHONE:
Ext: |
| EVENING PHONE: |
| MOBILE: |
| EMAIL: |
| All Neversink Group Photo Workshops are held on 2 consecutive days during |
| the year. |
| Full 2 day Group Workshop $375. |
|
| All Neversink individual/private Photo Immersion Workshops are 1 day. |
| Inclusion of spouse/partner at the descretion of Immersion Workshop student with |
| prior notice. Any additional person incurs full Immersion Workshop fee. |
| Immersion Workshop per person, per day $425/$495 depending on lodging. |
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| "Fall Foliage" Schedule is dependent upon local weather with dates to be announced. |
| TYPE/DATE YOU WISH TO RESERVE NEVERSINK PHOTO WORKSHOP: | |
 Group Workshop |
Individual Photo Immersion |
| Group Workshop Dates |
Photo "Immersion" Date |
| Alternate Dates |
Alternate Date |
| LEVEL OF PHOTOGRAPHIC SKILL:
Intermediate Advanced |
| CAMERA MEDIUM USED: Film
Digital Both |
| CAMERA FORMATS USED: 35mm
2 1/4
6x7
Other |
| MAIN INTEREST
Color Black & White
Digital |
| MAKE A RESERVATION: (50% deposit per person required with application) |
| AMOUNT ENCLOSED $
|
| BALANCE DUE: $
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| Balance of fee is due 2 weeks prior to reserved Workshop date. |
| TERMS: (Reservations will not be accepted without initial below) |
| Applicant agrees to all terms stated in the
Neversink Photo Workshop Course & Fees descriptions. |
| Additionally, applicant releases and absolves the Neversink Photo Workshop and Louis Jawitz, et al personally, as well as sponsors, staff, contractors, carriers, and any agents thereof of any and all liability in case of accident or loss to person and/or property during the Neversink Photo Workshop as well as while travelling to and/or from the Neversink Photo Workshop. Applicant agrees to assume all risks involved as described above. (Initial required)
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| APPLICANT'S SIGNATURE |
| THE NEVERSINK PHOTO WORKSHOP |
| 212.929.0009 OR 845.434.0575 |
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