Art In The Mountains  PO Box 311, Mehama, OR 97384
Herman Pekel ~   June 8 - 15, 2019
Paris-Versailles, France Art Workshop
Registration and Agreement
PRINT, Complete and MAIL One Enrollment Form for Each Participant to:
Name:
_________________________________
Seasonal Address:  Month:             to
Address:
_________________________________
__________________________________
City, State, Zip:
_________________________________
__________________________________
Phone:
_________________________________
__________________________________
Cell:
_________________________________
__________________________________
E-Mail:
_________________________________
__________________________________
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Enclosed is $300, the DEPOSIT on the trip      

Enclosed is $3400, Payment in full for workshop participant        

Enclosed is $3000, Payment in full for nonpainting participant
   
My signature below indicates that I have read and agree to the Registration /Cancellation Policy Below.  

___________________________________________________Check #_________  Amount Enclosed: $_________

WORKSHOP REGISTRATION & PAYMENT
Complete the registration form and mail it to the address indicated. A nonrefundable deposit of $300 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. PayPal is available with a service fee.
Payment Billing:  Balance must be received by February 10, 2019 or you may lose your space and forfeit your deposit. Registrations after
February 10, 2019 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 $300 for this event.  There will be no refund of monies 90 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/or Visa to travel to France. Art in the Mountains is not responsible for art
supplies or travel expenses to and from France.  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.

Unforeseen Events - Please initial ____________In the unlikely event that Herman Pekel 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 workshop 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 _________There are no refunds or prorated fees for activities you choose not to attend.

Please initial _________Program does not include: airfare, passport, lodging prior to June 8, 2019 or June 15th and beyond,
painting materials, personal expenses of participants, gratuities for great service, transportation outside the scope of the arranged excursions
or meals.

Please initial ________Prior to the Workshop
Participants should organize their flights giving time to arrive in Paris no later than, Sunday, June 9, 2019. Art in the Mountains recommends
arriving 2 - 3 days early. Art in the Mountains. is not responsible for students arriving late, or for airline delays resulting in them missing any
scheduled transfers.

Art in the Mountains, 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
France: _______________________________________

Your Physician's Name: ____________________________________

Your Physician's Phone Number: _____________________________

An emergency contact name and phone number in the US
or Home (please include country code):

______________________________________________________

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

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