Perry Haddock
25 Sep 2018 - 4 Oct 2018 Plein Air Workshop in Spain with Perry Haddock Category: Workshop/Class Event Website: Venue: El Molino, near Malaga, Spain
WhereverNext in Spain: Plein Air painting in Spain September 25 – October 4, 2018 With Perry Haddock
Tour Registration Form - One Per Participant
Name: (As it appears on passport)______________ ________________ ____ Citizenship: _________ _______ Address: _____________________________________ ___________ _ Postal Code: Ph: Cell: ___________________Home: _________________ Email:______________ _ ___ ______ _
Date of Birth (D/M/Y): _____________ Provincial Primary Medical Care Coverage Number:
Passport Number: ______________ Issue date: ________ Expiry date: __________ Place of Issue
Dietary Restrictions or Food Allergies and/or Medical Conditions we should be aware of:
Do you smoke: Yes ____ / No____ , I wish to have a single room: Yes ____ / No____ , WWW to find me a
Room-mate if possible Yes ____ / No____ , I will share with (name):
Emergency Contact: Relation: Phone:
How did you hear about this workshop?________________________________________________________________
WhereverNext in Spain & Travel Concepts occasionally uses photographs from our workshops for future marketing purposes. Do you authorize WhereverNext in Spain & Travel Concepts to use photos that include yourself? (Y or N)
Travel Concepts occasionally sends email marketing about upcoming tours and events. Do you authorize Travel Concepts to send email marketing? Yes /No
If applicable to program, describe your painting experience: Beginner ____ Intermediate ____ Advanced____
Workshop Pricing: CAD 3,890 Land only, twin share CAD 800 Single Supplement CAD 500 Non-refundable Deposit at time of booking, CAD 1500 due February 1, 2018 Balance due July 2, 2018
Please note: All payments are non-refundable. Travel Concepts will contact you to discuss your personal insurance needs. We strongly recommend that you purchase trip cancellation and out of country medical insurance.
In the unlikely event that an emergency or medical condition should arise that prevents the attendance of key personnel, we reserve the right to substitute instructors and/or onsite staff.
Please insure that you and your witness have signed the Waiver & Release form (page two of this document) before returning to Travel Concepts. Travel Concepts and Women With Wings employees cannot be your witness.
I wish to pay for this tour by Cheque made out to Infinity Travel Concepts (enclosed) _____ Credit card
Credit card number: ______ CCV: Expiry:
Name as it appears on credit card: __ Signature: ____
Please return completed form to Infinity Travel Concepts
#103 – 3151 Woodbine Drive, North Vancouver BC V7R 2S4
Phone: (604) 926-8511 Fax: 604 926-2247 Or scan/email to:
WhereverNext in Spain: Plein Air painting in Spain September 25 – October 4, 2018 With Perry Haddock WAIVER AND RELEASE FORM
This waiver and release is given by the undersigned (the “Client”) to and in favour of Infinity Travel Concepts Ltd. and it’s employees, agents, officers, directors, shareholders and affiliated companies (all of whom are referred to herein as “ITC”) in connection with ITC’s services (the “Services”) of arranging for the provision of travel and tourism services to the Client by third parties such as airlines, bus, train, car rental or other transportation providers, tour guides, hotels
and outfitters (“Third Party Providers”). The Client hereby acknowledges that:
a) ITC would not provide the Services unless the Client signs this waiver and release;
b) the Client accepts the allocation of risk provided for herein; and
c) the provision of the Services by ITC to the Client is sufficient consideration for this release and waiver.
The Client acknowledges that ITC is acting as the Client’s agent in making arrangements with Third Party Providers and that all such arrangements are between the Client and the respective Third Party Providers. The Client acknowledges that ITC makes no representations or warranties regarding such arrangements and that ITC has no ability to ensure that those arrangements are fulfilled in the manner that the Client may expect or to which the Client may be entitled. In each case, the Client has a contract with the Third Party Provider, and must look solely to the Third Party Provider for any compensation or other remedies if problems arise.
Accordingly, to the greatest extent permitted by law, the Client hereby irrevocably releases ITC from any and all actions, causes of action, damages, losses, expenses and other claims of any kind whatsoever arising out of the actions, inactions, omissions, negligence or other conduct of any Third Party Provider. This release extends to loss of property, personal injury, loss of life, delays, itinerary changes and any other damages, losses, costs, expenses or inconveniences that the Client may suffer or incur.
Signed & delivered by the Client this ______________ ______ day of ________________, 20__ _
Name of Witness ________________________ Name of Client _ ________________________
Witness Signature _______________________ Client Signature __________________________
NB: Women With Wings & Travel Concepts staff are unable to witness tour registration forms
Please return completed form to Infinity Travel Concepts
#103 – 3151 Woodbine Drive, North Vancouver BC V7R 2S4
Phone: (604) 926-8511 Fax: 604 926-2247
Or scan/email to:
For Internal Use Only
Deposit Payment Posted:
Date: Notes:
Final Payment Posted:
Date: Notes:
Pre + Post Nights Information:
Insurance Information:
Air/Flight Information: