Joe Decker -- Photo Workshop Registration
| Workshop and Workshop Date:: | ___________________________________________ |
| Name: | ___________________________________________ |
| Address | ___________________________________________ |
| ___________________________________________ | |
| City/State/Zip | ___________________________________________ |
| Phone | ___________________________________________ |
| Email: | ___________________________________________ |
| Emergency Contact Name & Phone: | ___________________________________________ |
Registration Checklist:
Print and send both this form and the liability waiver and send that along with your workshop deposit to: Joe Decker, Rock Slide Photography, 1733 Hudson Drive, San Jose, CA 95124-1737.
Registration form : ____
Signed liability waiver: _____
Deposit: _____