Kids Summer Photography Workshop Registration Form

Thank you so much for joining our Kids Summer Photography Workshop! I can guarantee your child will learn a lot and take home the skills they need to pursue their interested in photography!

Your child must be at least 10 years old to attend the camp.

It's recommended your child bring a camera to the workshop, but renting a camera for the workshop is an option.

Please fill out this form and make the full payment for your child to be enrolled in the week you have chosen. If payment is not made your child's spot is not secured. If you have any problems with payment you must contact me immediately. marcie@marciereifphotography.com

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Student's Name Student's Name First Last
Age (must be 10+ or older to attend the workshop)
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Parent Information

Parents will be contacted in an emergency. If you have another contact emergency other than the parents please let me know.
Parent Name (1)
Parent Email (1)
Parent (1) Cell Phone Parent (1) Cell Phone - ### - ### ####
Parent Name (2)
Parent Email (2)
Parent (2) Cell Phone Parent (2) Cell Phone - ### - ### ####
Please list any allergies or health concerns
Please choose the day you'd like to attend the workshop. Registration cost is $199

Please choose the day you'd like to attend the workshop. Registration cost is $199 June 5 10am-2pm June 10 10am-2pm July 10 10am-2pm
My child will need to add on a rental of a DSLR camera, lens, and memory card for the workshop. $50

My child will need to add on a rental of a DSLR camera, lens, and memory card for the workshop. $50 yes
My child will bring their own DSLR or mirrorless camera, lens, and memory card to the workshop.

My child will bring their own DSLR or mirrorless camera, lens, and memory card to the workshop. yes no
Waiver

To the parent or guardian; I, the undersigned, approve the workshop application and expressly waive any and all claims against Marcie Reif Photography, it's staff, or representatives because of any injury or damage that may be incurred to the named applicant. I also authorize the workshop to act in the best interest of each workshop attendee in the event of a medical emergency.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY
Discount Code : use code EARLYBIRD to save $50 on your registration. Expires June 1st.
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Kids Summer Photography Workshop Registration Form

Kids Summer Photography Workshop Registration Form

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Parent Information

Waiver

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Kids Summer Photography Workshop Registration Form