Registration

Registration / Travel Information (Diets/Mobility) / Photo & CVs

Instructions: Please fill out every field in this form. To complete the form, you will need a head and shoulders image for the website and a .pdf file of your current CV. All fields with an asterisk are required. If you have any questions about the form, feel free to contact the course director, Vince Marazita at: vmarazita@gmail.com.

Registration:

* Indicates required field

Name *

First

Last

Email *

1. . Do you have any dietary issues? (Special Diets, allergies, etc) * *

Yes No

If yes , please describe your dietary issue. *

We will make every effort to acomodate dietary requests.

2. Do you have any mobility issues? (Wheelchair, assisted walking, etc.) *

Yes No

If yes, please describe your mobility needs? (wheelchair, assistance walking, etc.) *

We will make every effort to acomodate mobility and accessibility requests.

3. Will you be bringing a guest? *

Yes No

If so, what is your guest's name? *

Because of the size of the group, there will be no official program for spouses or guests who may choose to attend. If the spouse or guest attends there will be an additional cost for hotel + included meals. The buses for the daily activites will most likely be full because of the size of the group. Guests should plan on organizing their own independent itinerries.

Photo and CV Uploads:

Upload File: Please upload a copy of your most recent CV or Resume. Remember to name the file with your first and last name. *

Max file size: 20MB

Upload File: Please upload a photo of yourself for the website. Remember to name the file with your first and last name. *

Max file size: 20MB

Thank you for submitting this travel information form. If you would like a copy of this form, you save a screen shot now, as you will not be able to access this form once you submit. "Grazie!"

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​Registration / Travel Information (Diets/Mobility) / Photo & CVs

Registration:

Photo and CV Uploads:

Registration / Travel Information (Diets/Mobility) / Photo & CVs