Application For Admission
Travel Writing & Photography Retreat

To apply, please complete this form and click submit at the bottom:

Personal Information

First Name
Last Name
Home Address
City
Province		Postal Code
Tel. Phone
Cell Phone
Email
Birthdate: (MM/DD/YY)		Gender (M/F)

What would you like to accomplish from the retreat?
How did you hear about the Travel Writing and Photography Retreat?

Accommodations & Meals (Please choose one)

You would prefer a private cottage with private bedroom and private bathroom ($899* per person for tuition, accommodations for two nights and all meals)

You would prefer a room to yourself in a shared cottage ($699* per person for tuition, accommodations for two nights and all meals)

You are accompanying a retreat participant but not taking the workshop yourself and will share a room with a participant ($299* per person for accommodations for two nights and all meals)
*Prices do not include HST (13%) or gratuities (5%)
Food Restrictions (Please describe)