Bellarine Workshop- Registration

One Day Workshop - Registration Form

Bellarine Workshop

Registration Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Bellarine Day Workshop

Emergency Contact

Emergency Contact *

First

Last

Phone Number *

What would you like to cover on the Day ?

Comment *

Would you like to try out some Nisi Filters on the Day?

Select One *

If "YES" then can you please list below the camera model you will be using, plus the lens that we will be putting filters onto. I also need to know the tread size of the front filter element, I need to know this to make sure I can put filters onto your lens.

Comment *

Fitness and Mobility, Medical Conditions

Due to the nature of Landscape Photography we will visit places that require some walking
and a moderate level of fitness is required. Nothing is ever strenuous and locations can be
gauged on the groups dynamics but please be aware that you need to be mobile enough
to have access to some of the places that we shoot.

Fitness and Mobility *

Yes I have moderate fitness and mobility

Do you have any Medical Conditions

Medical Conditions *

No I don’t have any medical conditions that could effect the workshop Yes I do have medical conditions, please state below

Medical Conditions *

COVID Requirements

To attend the workshop you will need to have your COVID vaccinations up to date and as a group we will need to adhere to the covid policy at the time of the workshop

COVID VACCINE *

YES I AM VACCINATED

Please upload a copy of your Vaccination Certificate

Upload File *

Max file size: 20MB

Social Media

I use social media and Newsletters as a way of promoting my business, so I may wish to
post images or stories of our days outings. I totally respect peoples privacy so hence I ask
your permission to post such images. I will only ever use first names and tagging is up to
the individual.

Facebook, Instagram, Newsletters *

YES, I agree to this NO, I would prefer not to.

Cancellation Policy

More Than 14 days before the workshop
If you cancel 14 or more days before the workshop then your deposit will be refunded in
full or you can transfer to another workshop.
Less than 14 days before the workshop
If you cancel less then 14 days before the start of the workshop, and the workshop is full; your workshop fee is
refunded if a replacement is found, a fee of $99 is deducted to cover re advertising the
workshop.
If a replacement is not found then NO REFUND IS GIVEN.
You can not transfer to another workshop if you cancel less than14 days before the start of
the workshop.
Please consider that my workshops are structured with very small groups and to run these
with small numbers means I need to implement such polices.

Cancellation Policy *

I have read and agree to your cancellation Policy

Waiver of Liability

All care is taken whilst on a workshop and safety is paramount at all times. However due
to the nature of locations we may visit, it has to be stated that Dean Cooper Photography
holds no responsibility or liability for personal injury or damage to personal or third party
property.
At any time Dean Cooper Photography holds the right to cancel any workshop. If this
happens a full refund will be applied.

Waiver of Liability *

I agree to the terms of this workshop and Waiver of Liability.

Date *

Submit