Registration

Which event are you registering for?Singing & Walking in Kosciuszko NP with Rachel HoreCeltic Music Camp in KosciuszkoSinging & Walking in FranceSinging & Walking in Lamington NP with Rachel HoreSinging & Walking in Kosciuszko NP with Moya Simpson

First NameContact Person First Name

Last NameContact person last name

Your contact email *

Booking forIndividualCoupleTwin

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

Singing PartSopranoAltoTenorBass

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 undulations over 15 kms1-5 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

Next of Kin: Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Accommodation preferenceTwinDoubleSingle room

Is there someone you would like to share a room with?

Change of Tutor

I agreeI 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