NEVERSINK PHOTO WORKSHOP APPLICATION
Please, print, fill out & sign, and mail with deposit to:
LOUIS JAWITZ
P.O. Box 641
Woodbourne, NY 12788
212-929-0009 or 845-435-0575
(Make check payable to Louis Jawitz)
Click here for printable PDF version of Application
NAME:
ADDRESS:
CITY: STATE: ZIP:
DAYTIME PHONE: Ext:
EVENING PHONE:
MOBILE:
EMAIL:
All Neversink Group Photo Workshops are held every weekend during
the Summer possibly into the Fall.
Full 2 day Group Workshop $375.
All Neversink individual/private Photo Immersion Workshops are 1 day.
Inclusion of spouse/partner at the descretion of Immersion Workshop student with
prior notice. Any additional person incurs full Immersion Workshop fee.
Immersion Workshop per person, per day $425/$495 depending on lodging.
"Fall Foliage" Schedule is dependent upon local weather with dates to be announced.
TYPE/DATE YOU WISH TO RESERVE NEVERSINK PHOTO WORKSHOP:
  Weekend Group Workshop   Individual Photo Immersion
Group Workshop Dates Photo "Immersion" Date
Alternate Dates Alternate Date
LEVEL OF PHOTOGRAPHIC SKILL:  Intermediate  Advanced
CAMERA MEDIUM USED: Film    Digital   Both
CAMERA FORMATS USED: 35mm   2 1/4   6x7   Other
MAIN INTEREST Color  Black & White  Digital
MAKE A RESERVATION: (50% deposit per person required with application)
AMOUNT ENCLOSED $
BALANCE DUE: $
Balance of fee is due 2 weeks prior to reserved Workshop date.
TERMS: (Reservations will not be accepted without initial below)
Applicant agrees to all terms stated in the Neversink Photo Workshop Course
& Fees descriptions.
Additionally, applicant releases and absolves the Neversink Photo Workshop
and Louis Jawitz, et al personally, as well as sponsors, staff, contractors, carriers,
and any agents thereof of any and all liability in case of accident or loss to person
and/or property during the Neversink Photo Workshop as well as while travelling
to and/or from the Neversink Photo Workshop.
Applicant agrees to assume all risks involved as described above. (Initial required)
APPLICANT'S SIGNATURE 
THE NEVERSINK PHOTO WORKSHOP
212.929.0009 OR 845.434.0575