Cocktails in the Country: Application Form

by Gaz Regan · Thursday, April 28th, 2016 · CitC, CitC 2016, CitC Main


Application to take gaz regan’s

Cocktails in the Country Master of Service Course, 2016.

All students must reside legally in the USA, and they must have spent at least three years in the hospitality industry.

Students are NOT allowed to drive to or from this workshop.

PLEASE copy this form, paste it into a text document, and complete it on your computer. Do not hand-write your answers!  Thanks so much.

DATES: (subject to change if necessary)

  1. April 18/19

  2. May 9/10

  3. June 6/7

  4. June 20/21

  5. June 27/28

  6. July 11/12

  7. August 1/2

  8. August 8/9

  9. August 15/16

  10. August 22/23


YOUR PREFERRED DATE (Please pick 2):



Name & Address of the Bar at which You Work

Web site address of the bar:

Personal Email Address:

Cell phone Number

Home Address:

Please List the Bars (Name and City) at which you have Worked to prove your 3-Year-Minimum in the business, and please give dates:


Please email Completed Form to

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