Courses & Workshops Enrolment Form Title Mr Master Miss Ms Mrs Mx (Neutral) Name of Student * First Name Last Name What Course or Workshop did you book * Email Address * Contact Number * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact ICE Contact Name * ICE Contact Number * Payment Method of Payment * Cash Cheque Bank Transfer Date of Payment * MM DD YYYY Total Amount to Pay * $ Additional requirements/ allergies that we should be aware of. Photoconsent * Yes No Thank you!
