COURSE ENROLLMENT FORM

Blind Tasting

STUDENT NAME:

The name that appears on your official photographic ID

First Name

Last Name

DATE OF BIRTH:

MM

DD

YYYY

EMAIL ADDRESS:

STUDENT ADDRESS:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Details:

I have read and understand the terms and conditions and agreed to comply to all Traverse Wine Institute Policies and Procedures. To inquire or submit a request for reasonable adjustment please email info@traversewineinstitute.com

I grant permission to the Traverse Wine Institute to pass my personal information to the Wine and Spirits Education Trust (WSET).

I agree to both the Traverse Wine Institute and WSET's privacy and data protection policies.

STUDENT SIGNATURE:

By typing in the box below this confirms your signature and form submission

TODAY'S DATE:

MM

DD

YYYY

Please note that by agreeing to the above form Details* you hereby agree and acknowledge that you have read the Traverse Wine Institute and WSET’s Privacy Policy and data protection policies which can be viewed here at any time. Thank you!