Francewalks Registration

Last NameContact person last name

First NameContact Person First Name

Your contact email

Which event are you registering for?Singing & Walking in Kosciuszko NP with Nicole MurrayCeltic Music Camp in KosciuszkoMusic & Walking in France Sept 2024Singing & Walking in France 2025

Phone

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Partner name (if attending)

Date of Birth

Passport Number (if booking for France Trip)

Dietary RequirementsDo you have any food allergies or a specific diet? We are not able to accommodate all diets.

Occupation

Instrument played

Do you have any physical issues that may affect your walking?Please advise if you have knee problems, heart conditions, asthma etc

What would be a comfortable distance for a walk with some undulations1-5 kms5-10 kms10-15 kmsover 15 kms

Which best describes your hill climbingComfortable climbing hills/mountainsNot comfortable climbing hills/mountains

Next of Kin: Name

Next of kin: Relationship

Next of Kin Phone Number

Accommodation preferenceTwinDoubleSingle room

Is there someone you would like to share a room with?(Each individual needs to complete their own registration)

Change of Tutor

I acceptI agree that Jo Cresswell has the right to provide a replacement singing teacher if something unanticipated and unavoidable transpires for the advertised teacher to be unavailable at short notice.

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Jo Cresswell