2010 Beginner Workshop Registration Form

Registration is limited to 6 participants. There is a waiting list when workshop is filled.

Please complete this form and send to:

Rob Kennedy

6-1855 Maple Ridge Dr,

Mississauga, On  L4W 2N7

Name_____________________________________________________________________                  

Address___________________________________________________________________      

Postal Code________________________ Ph: _____________________________________

E-mail ____________________________________________________________________    

    [ ]    Visual Design 101                                     April 17^th  10’                  $75.00

    [ ]    Writing with Light                                      April 24^th 10’                  $75.00

    [ ]    In the Beginning   Digital 101                     April 10^th 10’                   $75.00

    [ ]    Making Colour work for you                     May 2^nd  10’                   $75.00

     (Snacks  & beverage included)     

Please check one:

  [ ]  I have enclosed $75.00 as payment in full for the 1 workshop.                                   

  [ ]  I have enclosed $200.00 as payment for 3 workshops.      

  [ ]  I have enclosed $250.00.00 as payment for all 4 workshops.

Waiver of Liability

I agree that during this workshop, Rob Kennedy and his agents shall not be liable or responsible

for any claims or damage arising from personal injury to any participant or other person or for any damage,

loss or theft of personal property of any participant or other person, however caused. Rob Kennedy reserves

the right to alter the time, context or format of the workshop to suit the needs of the participants should circumstances require.

Signed  ____________________________________________________

  Date     ___________________________________________________ 

           robkennedyphotos.com