PRINT, Complete and MAIL One Enrollment Form for Each Participant to:
Name:
_________________________________
Seasonal Address:  Month:             to
Address:
_________________________________
__________________________________
City, State, Zip:
_________________________________
__________________________________
Phone:
_________________________________
__________________________________
Cell:
_________________________________
__________________________________
E-Mail:
_________________________________
Please Check One:

  I am registering as:                                  ____
__________________________________


Painter $4500 or            _____ Non-painter $3200
_____
Enclosed is $500, the total DEPOSIT for the event.                     _____    Please sign me up for Easy-Pay
   
My signature below indicates that I have read and agree to the Registration /Cancellation Policy Below.  

___________________________________________________Check #_________  Amount Enclosed: $_________
Art In The Mountains  PO Box 282, Bend, OR 97709
March 21 - 28, 2020
Mary Whyte - Italy Art Workshop Registration and Agreement

WORKSHOP REGISTRATION & PAYMENT
Complete the registration form and mail it to the address indicated. A nonrefundable deposit of $500 is required at time of registration in order
to reserve your place. Any deposits received after the class has filled, will be put on a waiting list. If space does not become available for you,
your deposit will be refunded.

Payment Method: We accept personal checks, cashier’s checks and money orders in U.S. Funds.
Payment Billing:  Balance must be received by November 21, 2019 or you may lose your space and forfeit your deposit. Registrations after
November 21, 2019 must pay in full.

Payment Billing: If you so desire, you may choose "Easy Pay". After receiving your deposit, the balance of the course fees will be billed in
three equal installments.  If you do not make payments you will be sent a bill for the balance 120 days prior to class beginning.  Balance must
be received by November 21, 2019 or you may lose your space and forfeit your deposit.

Cancellation Policy – Spaces are reserved on a first deposit-received basis.  Once your place has been reserved, there will be a
nonrefundable cancellation charge of $500 for this event.  There will be no refund of monies 104 days or less prior to the event or once a
workshop begins.  We always feel badly when a personal emergency arises after this time period.  However, we must strictly adhere to this
policy as all funds are committed.  No-shows will not receive a refund, regardless of the circumstances. If you drop out of a class once it has
started, you will not receive a refund.  We reserve the right to cancel any workshop, in which case we will make a full refund.  Art in the
Mountains is not responsible for travel expenses.

Please initial _________ I understand I need a passport to travel to Italy. Art in the Mountains is not responsible for art supplies or
travel expenses to and from Italy.  We recommend personal travel insurance to cover the cost of emergencies, to recover lost or damaged
baggage, airline mechanical failures, cancellations or delays and sickness.  If you are in an accident around your home or in a car, please seek a
workshop expense compensation from your insurance company. You may be able to claim all or part of your tuition and expenses on your
income taxes if you are an artist who sells their work. Please consult your Tax Preparer/Advisor for information.

Please initial _________Unforeseen Events
In the event of unforeseen circumstances such as changes in the cost of travel and accommodation services, we may need to adjust fees.
Should any increase in price be unacceptable to the participant, a full refund of all monies paid will be made.

In the unlikely event that Mary Whyte is unable to perform her duties due an emergency, Art in the Mountains reserves the right to
substitute another internationally known watercolor artist of the highest caliper possible, rather than forgo the whole event.

Please initial _________Our excursions may involve a considerable amount of standing, walking and some stairs. It is important that all
participants have a level of physical stamina that permits them to take part in these activities.

This is an all-inclusive workshop excepting transportation to/from Italy and a few meals.
Itinerary - Activities are for all except as noted.
There are no refunds or prorated fees for activities you choose not to attend.


Please initial _________Program does not include: airfare, passport, painting materials, meals when on excursion, personal
expenses of participants, gratuities for great service, transportation outside the scope of the arranged excursions or meals outside what is
outlined.

Please initial ________Accommodations: All participants will share a double room with private bath with another participant.
Roommates will be assigned by AITM to the best of our ability. Rooms will be assigned by AITM. Please do not make your own
reservation. We have a block of rooms we will be assigning to everyone participating.

If you are traveling with or joining someone at the workshop we will be happy to place you together in the same room if possible. Please note
below.

I am joining another participant and would like to share my room with: __________________________________________________

Please check one:             _______ 2 twins         
OR         __________ 1 queen

For placement assistance may we please ask - Do you Smoke? ____  Snore excessively? ____ Male?____ Female?___ Birth Year?_____  

Please initial ________Prior to the Workshop
Participants should organize their flights giving time to arrive at the Hilton Sorrento Palace Address: Via Sant'Antonio, 13, 80067 Sorrento
NA, Italy, by 3:00 p.m., March 21, 2020. If this is not possible then we recommend that you arrive a day early. Art in the Mountains is not
responsible for people  arriving late, or for airline delays

Art in the Mountains and the Hilton Sorrento Palace, their agents, officers, affiliates, and/or suppliers of services pursuant to or in connection
with this workshop shall act only as agents in making arrangements for accommodations, transportation, restaurants, or any other service and
do not assume any liability whatsoever for any injury, damage, death, loss, accident or delay to person or property due to an act of negligence
or of default of any hotel, carrier, restaurant, company or person rendering any services included in the Workshop, or by act of God. Further,
no responsibilities are accepted for any damage or delay due to sickness, pilferage, labor disputes, machinery breakdown, quarantine,
government restraints, weather, terrorism, or other causes beyond their control. No responsibility is accepted for any additional expenses,
omissions, delays, rerouting or acts of any government or authority. Baggage remains at owner's risk throughout the Event.


Your Full Legal Name: ___________________________________________________________________________

Your Cell Phone Number in Italy: _______________________________________

Your Physician's Name: ____________________________________

Your Physician's Phone Number: _____________________________

An emergency contact name and phone number in the US:

______________________________________________________

Are there any medical issues we should be aware of?__________________________________________________________

Bee Sting Allergies, Food Allergies, pacemakers, asthma, etc.?______________________________________________