January 5 - 18, 2019 Gold Coast Australia and New Caledonia
Karlyn Holman
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
Seasonal Address:  Month:             to
City, State, Zip:

Please Check One:

I am registering for                                        

_______ Karlyn Holman  $695

_______ As a Travel Enthusiast (no workshop)

Enclosed is $325, $125 deposit on cabin and $200 deposit on workshop

Enclosed is $125, Companion deposit on cabin.
Enclosed is $820, the total PAYMENT IN FULL for the workshop $695 and cabin deposit $125.
My signature below indicates that I have read and agree to the Registration /Cancellation Policy Below.  

___________________________________________________Check #_________  Amount Enclosed: $_________
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 September 7, 2018 or you may lose your
space and forfeit your deposit. Registrations after September 7, 2018 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 120 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 and Visa to travel to Australia and possibly some countries 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.

Please initial _________ In the unlikely event that your teacher is unable to perform his/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 _________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, Emily L. Bell of Norwegian Cruise Lines at Direct: (954) 514-4471 .  

Emily will help you choose your stateroom and make payment arrangements with you. Your stateroom deposit of $125 will remain on my
account to help maintain our group block. Your fee to NCL will be reduced by $125 for reimubursing AITM.  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, 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

Please initial ________Accommodations: Participants can share a double room with private bath with another participant or companion.
Art in the Mountains will be happy to help  to try to facilitate this 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

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 5th. If this is not possible
then we recommend that you arrive a day early. Our best recommendation is to arrive 2 days 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.?______________________________________________