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Registration: Divine DreamCamp (Jul 5, 2021 - Jul 11, 2021 )

Aziza Dream Camp Registration
Use this form to register for Aziza Dream Camps Retreats from Aziza dream camp. Please note: You are not officially registered until your deposit is received. This on-line registration will hold your spot at camp for 24 hours to allow time to receive your deposit.

ATTENTION: Please note that Your $650.00 deposit is non refundable, only transferable one time only to another camp.
Thank you.



USER INFORMATION
First Name: * 
Last Name: * 
Artist:
Address: * 
Address 2:
City: * 
State or province:
Zip:
Country:
Phone with Area Code:
Cell Phone with Area Code:
E-mail (to receive email confirmation): * 
Confirm Email: * 
Have you ever attended an Aziza workshop?:
No  Yes  
I heard about Aziza Dream Camp from:
Skill Level:
absolute beginner  
novice  
intermediate  
advanced  
professional  
Your Teacher's Name:
Vegetarian:
No  Yes  
Other Diet Restrictions will be accommodated if possible:
Physical /health Considerations:
1
Smoking:
No  Yes  
Aziza Dream Camp T-shirt:
Transportation:
Plane  
Car  
Bus  
Arrival
Please enter the information, if you don't have it right now, please note that your flights details is needed 30 days prior to camp
Arriving from:
Flight/Bus number:
Airline/Bus Co.:
Time:
Departure
Your flights details is needed 30 days prior to camp
Departure from:
Flight/Bus number:
Airline/Bus Co.:
Time:
Additional Questions:

Payment Instructions: PayPal

• Pay with PayPal: Select Paypal for the payment method (the amount you will be charged will be the deposit you enter), after clicking Submit, you will be redirected to the PayPal payment page.

 

Aziza Dream Camp Balance ($1100) Due Date – 10 weeks prior to camp
I agree to the terms and conditions: * 
Read Terms & Conditions