PRINT, Complete and MAIL One Enrollment Form for Each Participant to:
April 18 - 25, 2021
Mary Whyte - Sorrento, Italy Workshop Registration and Agreement
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
_________
The full amount of $4500 painter or $3200 companion enclosed.
_________
The $500 deposit required for registration is enclosed.
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

WORKSHOP REGISTRATION & PAYMENT
Complete the registration form and mail in with your deposit/payment.

Payment Method: We accept personal checks, cashier’s checks and money orders in U.S. Funds. We will accept PayPal though there is a 3%
service charge to use this payment method. If you don't have a PayPal account, I can send an invoice through PayPal for you to use your
credit card without having to open a PayPal account. Please contact me to make arrangements.

Cancellation Policy –  Our full policy is on our website and can be viewed at: https://artinthemountains.com/registration.html

Please initial _________ Art in the Mountains is not responsible for art supplies or travel expenses to and from the workshop location.  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 _________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 Sorrento, Italy.
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, painting materials, personal expenses of participants, gratuities for great service,
transportation outside the scope of the arranged excursions or meals outside what is organized by Art in the Mountains.

Please initial ________Accommodations: All participants will share a double room (some triple rooms with balconies available) with private
bath with another participant(s). Roommates will be assigned by AITM to the best of our ability. You will receive a phone call shortly after
reservations to discuss your options. Rooms will be assigned by AITM. We have rented a 10,000+ square foot Villa one mile out of Sorrento.

Please initial _______ In the unforeseen event that Mary is unable to perform her duties, AITM reserves the right to find a replacement
teacher of the highest caliber possible rather than forego the event.

Please initial ______  In the event of an natural disaster, Act of God, Art in the Mountains reserves the right to relocate the workshop.

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 queens  OR     __________ 1 king   OR  ________ Deluxe room for 3 with balconies and extra room.


Please initial ________Prior to the Workshop
Participants should organize their flights giving time to arrive at the Villa  by 4:00 p.m., April 18, 2021. The address will be provided in
January 2021.. Check in is at 4:00 pm. Art in the Mountains is not responsible for people  arriving late, or for airline delays.

Art in the Mountains and 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: _______________________________________

Your Physician's Name: ____________________________________

Your Physician's Phone Number: _____________________________

An emergency contact name and phone number:

________________________________________________________________________

Are there any medical issues we should be aware of?

__________________________________________________________

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

______________________________________________