EmailMe Form - Pamira Bezmen Photography Homeschool Workshop

Name of parent / guardian *

First Last

Email

Phone

### - ### - ####

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Name of child *

First Last

Age *

Please tell me what is your child's interest and experience level with photography

What kind of camera will you be bringing to the workshop?

Anything I need to know about your child in terms of health conditions, allergies, special needs, please let me know.