Application form

First Name Last Name

Email address

Job title

Employer or Institution

Mailing address

City

State

Country

Zip or postal code

Telephone

I was previously accepted into the 2020 workshop (which was cancelled because of pandemic restrictions).

Who is your first choice for instructor?

Second choice? Third choice?

Are you a vegetarian?

Require gluten free? Will you have a car?

Age

Female Male

Please check the appropriate item(s):

Inn of the Governors. I will book a room at the hotel.

Commuter. I do not need a hotel room. ($169 commuter fee for hotel breakfasts and lunches or $78 for lunches only)

Roommate. I will be rooming with another participant who has already booked at the hotel. ($75 surcharge to be paid by one occupant.)

I would like to buy ticket(s) at $75 per person for my guest(s) to attend the hike, Thursday dinner, and barbecue.

How did you hear about the workshop?

Total cost for workshop and lodging:

$785 tuition

+ $ guest fee, if any, for dinner and bbq (@ $75 a person)

+ $commuter or roommate fee, if any ($169 for hotel lunches and breakfasts or $78 for lunches only)

= $grand total for tuition and lodging (please remit by check or credit card upon notification of acceptance)