Giverny Registration 2019 — Elizabeth Murray Studios

To confirm your participation: Please complete the registration form and click submit. You will be redirected to pay the $2,000 deposit per traveler. Please do not book your airfare until you receive final confirmation from me. You will be informed shortly after the deposit payment deadlines whether the tour is on. Remaining balance of $2,490 due in full due no later than March 15, 2019 for the June trip and May 1, 2019 for the September trip.

For complete trip information please download the information packet before registering.

Name (As it appears on your passport)

First Name

Last Name

Date of Birth

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

General Contact Information

Email Address

Phone

(###)

###

####

Cell

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Phone #

(###)

###

####

Workshop Options

Check your first choice of workshop date:

Can you come on the other date if your first choice is filled?

Lodging

Please check appropriate room type.

Double Room

Sharing room with:

Miscellaneous Information

Special Food or Physical Requirements:

Are you celebrating a special event during our trip?

Tell me more about yourself & why this trip appeals to you?

Tell me about your favorite creative expressions- painting (what medium?), Photography (what kind?) writing? gardening? music? What creative seeds do you want to plant and cultivate on this trip?