Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Country

(###)

###

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I would like to attend:

Week 1

Week 2

Both weeks

Who is coming?

Only me

Partner and me (both enrolled)

Partner and me (partner not enrolled)

Bathroom preference

I would prefer an ensuite bathroom

I would be happy to share a bathroom