BAW02

Full Name *

First Name Last Name

Gender *

Male Female

E-mail *

Phone Number *

Area Code Phone Number

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

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

Cash Cheque

*Accommodations are 2 to 3 people per room.