SUMMER PHOTO CAMP 2017 REGISTRATION

MAIN CONTACT *
MAIN CONTACT
Home / Main Cel Phone *
Home / Main Cel Phone
Work Phone
Work Phone
Address
Address
SECONDARY / ALTERNATE CONTACT
SECONDARY / ALTERNATE CONTACT
Home / Main Cel phone
Home / Main Cel phone
Address 1
Address 1
CAMPER INFORMATION *
CAMPER INFORMATION
Age *
Address I if different from MAIN contact
Address I if different from MAIN contact
Cel Phone (if applicable)
Cel Phone (if applicable)
Gender *
Does she/he have your permission to be released on their own at the end of their camp day? *
CODE OF CONDUCT *
CODE OF CONDUCT The safety of each individual in the program is of the utmost importance at Lenwork.Each registrant must recognize a personal responsibility to learn and follow at all times the safety and other rules established by The staff. I hereby agree that any behaviour of the registrant that places him/herself or others at risk may result in the registrant’s immediate dismissal from the program. Further, if dismissed from the program, I agree to cover any expense(s) arising from such dismissal. I hereby acknowledge and agree that no refund will be granted for dismissal or removal of the registrant at his/her request before the end of a program session.
Are there any court orders or custody restrictions which would prevent us from communicating with either parent/guardian?
Please tell us which group you would like to register : *
Please tell us , from numbers 1 to 5, the campers's interests in these types of photography. ( 1 being 'most like')
NATURE / LANDSCAPE
FASHION / STUDIO PORTRAIT
SPORTS / ACTION
BUILDINGS / ARCHITECTURE
EVERYDAY PEOPLE / STREET / URBAN
ANIMALS / PETS
Other types of photography, please describe:
COMPUTER ACCESS
Lenswork reserves the right to cancel any camp program due to insufficient registration. Registrants are contacted by phone or email and offered a choice of: • transferring to another camp • receiving a full refund by cheque, for payments made by cash or cheque • receiving a full refund to Visa or MasterCard *
By submitting this registration, I hereby agree that I have read, and fully understand Lenswork's Terms of Service and Codes of Conduct as outlined on this registration form *
PAYMENT METHOD *
NAME *
NAME