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PhotoTour and Workshop Registration
PLEASE NOTE: If the forms
do not submit
correctly (or at all), you may print them out and fax
then to 707-887-9775 or mail to PO Box 9, Forestville, CA
95436. Thanks!
Please fill out this form completely (Gray=optional) so we may best serve you and be able to respond quickly in important or emergency
situations. When finished, press at the bottom of the page
to send form. We will acknowledge receipt with registration confirmation.
Thank you. We look forward to your participation!
PhotoTour or Workshop
Name: First
Last
Business
Name:
Address:
City:
State: Zip/Postal Code: Country:
E-Mail: Preferred
Secondary
Preferred Telephone: Select: Best Time to
Call:
Secondary Telephone:
Select:
Best Time to
Call:
Emergency:
Number Contact
Cellular:
Other Important Number: Description:
Share
My: Any
Info Name
E-mail
Address Tel
Number
with other PhotoTour participants.
PLEASE
NOTE: Currently this form is submitted over a non-secure site. We
are working on the secure site submission. If you feel more
comfortable you may fax or call us with your credit card
information.
Payment Method:
Check or Credit Card # Exp. Date
/
Name On Credit
Card Card Billing Zip Code
Comments or additional information:
Any significant personal conditions/limitations:
Conditions/Limitations:
Terms and Conditions
Deposits, Cancellations and Refunds
A deposit of 50% will reserve a space and full payment must be received within 30 days prior to event. If registering
within 30 days of event, full payment is due. Payment of deposit or full fee represents acceptance by the participant
of these Terms and Conditions. Upon receipt of payment and Registration form, you will be sent additional information
regarding your specific event, including meeting time and location, accommodations
(camping and /or motels) and
suggested and required What to Bring list.
Cancellations and Refunds.
Notification of cancellation must be made in writing or via email to Don Jackson Photography. Upon receipt of notification,
Don Jackson Photography will issue full refunds less $50 cancellation fee for up to 60 days prior to event start
date, 50% for notice received up to 30 days prior to event start date. Cancellations made less than 30 days before
the event start date will be without refund. However, fees may be applied toward another Don Jackson Photography
event (within six months of original event) at the discretion of Don Jackson Photography. don Jackson Photography
reserves the right to cancel any event at any time and will issue a full refund of all monies paid by each participant.
Don Jackson Photography is not responsible for any other arrangements or refunds.
Don Jackson, Special Guests and manufacturer's representatives are not responsible for or liable for services of
transportation companies, other participants, restaurants, hotels / motels, photo labs or camera stores engaged
for the event or recommended to participants.
Release of Liability and Assumption of
Risk
I am aware that travel by any conveyance contains some inherent risks of illness, injury or death, which may be
caused by negligence of myself, of others, forces of nature, or other agencies. I recognize that such risks may be present at any time during the Don Jackson Photography event that I am participating in. I am also aware
that medical facilities and or services may not be readily available or accessible during some or all of the time
on the event. I assume all risk of illness, injury or death, and release Don Jackson and Don Jackson Photography
and its agents, including Special Guests and manufacturer's representatives, from all actions, claims, or demands
for damages resulting from my participation in this event.
I have carefully read,
thoroughly
understand and agree to abide by all Terms and Conditions of the event as detailed herein. I certify that I am
in good physical and mental health and I have listed any personal
conditions or limitations above. I have also carefully read,
thoroughly
understand and sign this Release of Liability and Assumption of Risk on my own free will. I certify that I am of
legal age.
Signature
(Type in name): Date:
Thank you for
your participation!
If you have any difficulty with this form please
let us know at webmaster@donjackson.com
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