BAW02

Full Name*

First NameLast Name

Gender*

MaleFemale

E-mail*

Phone Number*

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Food Allergies and Dietary Restrictions

Are you a student?*

YES (provide your student ID to the workshop)No

Tell us briefly about your background and area of interest

The cost is $120 for non-students and $90 for students, which includes course registration, 4 meals, 1 night stay* (with linens) and facility fees. Arrival Saturday noon and departure Sunday around 1:00 pm. Please select payment option to be collected upon arrival

CashCheque

*Accommodations are 2 to 3 people per room.