Workshop Registration Form

Registration Form

Please complete the below information to begin the registration process. I will then follow up with you within 24hrs to confirm your registration and also provide further instructions. You may also call me directly at 941-623-5155 to register at anytime.

* Red fields are required

Select Your Workshop *

Everglades – Jan 21 & 22, 2012 - now over

Everglades – Feb 11 & 12, 2012 - now over

San Diego – Jan 27-30, 2012 - now over

Bird Photography Tour – Feb 22-26, 2012 - now over

Spoonbills & More – March 24 & 25, 2012 - now over

Spoonbills & More – May 5 & 6, 2012 - now over

Burrowing Owls – March 31 & April 1, 2012 - now over

St. Augustine & More – April 14 & 15, 2012 - now over

St. Augustine & More – April 21 & 22, 2012 - now over

Florida Coastline – May 12 & 13, 2012

Shorebirds of S.W Florida – May 19 & 20, 2012

Gatorland's Rookery - May 26-27, 2012

Great Smoky Mountains (Fall) - October 19-21, 2012

Bosque del Apache & More - Nov 30, Dec 1-2, 2012

Name *

Prefix

First

Last

Suffix

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Primary Contact Number *

###

####

Primary Email *

Confirm Email *

Emergency Contact Name *

Emergency Contact Number *

Level of experience

How did you learn about workshops?

System (Canon, Nikon, etc) *

Other Comments:

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