Test Reservation Form - Betty Sederquist Photography

Name*

Address

Telephone*

Cell Phone

Email*

Choose Your Workshop(s)

All workshops require full payment with your reservation. See the Photography Workshops page for more information about these and Betty's other workshops. Please contact Betty if you have any questions.

Bodie Fall Session - September 26-27, 2014

Daytime Workshop ($450)
Night Photography Workshop ($400)
Both Day & Night ($700)
No, thanks

Photoshop and Beyond Fall 2014

Thursdays, 1-3 p.m., October 30, November 6, 13, 20

Four Sessions ($125)
No, thanks

Beginning Digital Photography, Fall 2014

Saturdays, November 8 and 15

Two Sessions ($99)
No, thanks

Liability Waiver and Cancellation Policy*

Please read our liability waiver and then check the box above to indicate that you understand it and agree to the conditions.

Yes, I have read your liability waiver and agree to the conditions.

Tell Us About Yourself

Skill Level

Beginner
Intermediate
Advanced

Describe your Camera Equipment and Photo-Editing Software

Age

Health Considerations

Please let us know if you have physical limitations that we need to plan for. Also please list known allergies to all medications, plants, or insects and advise us if you're under a doctor’s care or using any prescription medications.

Emergency Contact*

Please include name and phone number.

Total

$0.00

Comments

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