January 31 - February 12, 2018
David Taylor, New Zealand and Australia
Cruise/Art Workshop Registration and Agreement
Please Print, Complete and Mail One Form for Each Participant to:
Art in the Mountains
PO Box 311, Mehama, OR 97384
Name:
_________________________________
Seasonal Address:  Month:             to
Address:
_________________________________
__________________________________
City, State, Zip:
_________________________________
__________________________________
Phone:
_________________________________
__________________________________
Cell:
_________________________________
__________________________________
E-Mail:
_________________________________
Please Check One:

I am registering as:                                        ____
__________________________________


Painter $795        or            _____ companion $0
_____

_____
Enclosed is $300, $100 deposit on cabin and $200 deposit on workshop

Enclosed is $100, Companion deposit on cabin.
_____
Enclosed is $895, the total PAYMENT IN FULL for the workshop and cabin deposit.
My signature below indicates that I have read and agree to the Registration /Cancellation Policy Below.  


___________________________________________________Check #_________  Amount Enclosed: $_________
REGISTRATION & PAYMENT
Complete the registration form and mail it to the address indicated. A nonrefundable deposit of $200 is required at time of registration in order to
reserve your place in the workshop. 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. You may also use a credit card through our
secure PayPal page, please call to make arrangements. Payment Billing:  Balance must be received by November 2, 2017 or you may lose your
space and forfeit your deposit. Registrations after November 2, 2017 must pay in full.

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 $200 for this event.  There will be no refund of monies 75 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 New Zealand and Australia and a VISA for Australia on our cruise. Art in
the Mountains is not responsible for art supplies or travel expenses to and from the cruise or it's ports.  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 David Taylor is unable to perform his 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.

Please initial _______ This is registration for the workshop and companion guests only. I understand I must book my cabin/cruise separately
with, and only with, Sara Kloor of Norwegian Cruise Lines at 1-954-514-4284.  Sara will help you choose your stateroom and make payment
arrangements with you. Your stateroom deposit of $100 will remain on my account to help maintain our group block. Your fee to NCL will be
reduced by $100 for reimubursing AITM. After receiving your workshop registration, AITM may send you documentation that is required for
the ship. One is a waiver similar to this and the other is a Material Safety Data Sheet for the paint we will be traveling with. Please be sure to
include these documents with your important travel papers so you will have them to board the ship. Art in the Mountains is not responsible for
passengers who forget required documentation.

Please initial ___________  There are no refunds or prorated fees for activities you choose not to attend.

Please initial _________Workshop program does not include: airfare, cruise, hotel in Auckland or Sydney, 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 or
companion. Roommates can be assigned by Art in the Mountains and/or Norwegian Cruise Lines upon your request. If you are traveling with or
joining someone at the workshop we will be happy to place you together in the same stateroom. If you desire a private room, you will have to
pay the cruise line for 2 fares.

Please initial ________Prior to the Workshop
Participants should organize their flights giving time to arrive at the Embarkation Point no later than 2:00 p.m., January 31st. We recommend that
you arrive a day or 2 early. Art in the Mountains is not responsible for passengers arriving late, or for airline delays resulting in them missing the
scheduled departure. Such participants will be required to make their own arrangements to meet the group at their own expense at a scheduled
port of call.

Art in the Mountains and Norwegian Cruise Lines, 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: ______________________________________________________as shown on Passport

Your Cell Phone Number : _______________________________________

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, pacemakers, asthma, etc.?______________________________________________