The Food & Culinary Professionals DPG / A Cook’s Tour

Program Enrollment Form

I/We wish to enroll in the following program:

Discovering the Culinary Treasures of Chile, March 19-26 or April 2-9, 2017

For Members and Friends of the Food & Culinary Professionals DPG of the Academy of Nutrition and Dietetics

Name(s) of person(s) enrolling: 1.______2.______

Address/City/State/Zip: ______

Home Phone: ______Work Phone:______email:______

Which trip are you registering for? ______March 19-26 April 2 – 9

‘Land Only’ Program Cost per person in double occupancy: for FCP members and FCP Friends is $3380.

I/We (circle one of the following) are / are not members of FCP.

(Note: if you’re not an FCP member or Friend member, you must join an Academy member or as a Friend if not eligible to be an Academy member in order to participate in this program.

Contact the FCP Office at for a Friend member application.

The Single Supplement cost is $575. When submitting a single reservation, please send $750 as the deposit.

What type of room do you require?

Check one of these: twin bed room with 2 twin beds___; double bed room (1 double/queen bed)___; single room___

Payment by personal check: A deposit of $500per person ($750 for a single room) must be returned with this enrollment form. Confirmation of receipt of this deposit, your enrollment, and balance due will be sent to you promptly. Balance of the ‘Land Only’ program cost is due 90 days prior to the beginning of the program (on or before December20, 2016). Make checks payable to: ‘A Cooks Tour”, and mail to the address below. To enroll after December 20, 2016, full payment must be sent with this form.

Initial Deposit: Due upon reservation submission (space is limited…first come, first served)

Cost per person (double occupancy): $500

Cost per person (with single supplement) $750

Final Payment: Due on or before December 20, 2016

Cost per person (double occupancy): $3,380 minus deposit ($500) = $2,880 payment

Cost per person (with single supplement): $3,955 minus deposit ($750) = $3,205 payment

Cancellation Date:

On or before December 20, 2016 - will forfeit $500 of payments to date per person

After January 15, 2017 - No refund

Tour Dates:

This tour begins with arrival at Santiago, Chile on March 19 or April 2and concludes with departure from Santiago, on March 26 or April 9

RELEASE AND ASSUMPTION OF RISK – I/We, the undersigned, have read, completely understand and agree to all the ‘Terms and Conditions’ as stated on the reverse of this form. I/we acknowledge that the program for which we herewith enroll, under the arrangements of ‘A Cooks Tour’, involves certain inherent risks and dangers including but not limited to those listed under ‘Terms and Conditions’ on the reverse. In consideration of, and as part payment for, the right to participate in the program in which I/we herewith enroll, I/we have and do hereby assume all risks of travel, specified or unspecified, expected or unexpected, and will hold ‘A Cooks Tour’ harmless from any and all liability, actions, causes of action, claims, debts or demands of any and every kind and nature, which I/we now have or may arise in connection with our participation in this ‘A Cooks Tour’ program, or in any other activities suggested or actually arranged for me/us by ‘A Cooks Tour’ and their agents or associates. The terms hereof shall serve as a release and assumption of risk by and for me/us, for my/our heirs, assigns, administrators, executors and for all members of my/our families including minor children. My/our signature(s) here below acknowledges that I/we have read and understood both this ‘Release and Assumption of Risk’ and the ‘Terms and Conditions’ of this form shown here below.

EVERY PERSON ENROLLING ON THIS FORM MUST SIGN BELOW

Print first namePrint last nameSignatureDate

1.______

2. ______

‘A Cooks Tour’, PO Box 427, Carnation, WA 98014 (425) 557-9905

E Mail:

Terms and Conditions – General Information

What Your Program Cost Includes: Review the program description and day-by-day itinerary to be sure you know what’s included in the ‘Land Only’ program cost, and what’s not. Included are all events, activities, visits, cooking classes, tastings, guiding, transfers within Portugal, thirteen nights lodging with full buffet breakfast, all lunches with wines and two dinners, as described in the ‘day-by-day’ description page. Not included: personal costs or expenses such as, meals not included in the schedule, laundry, postage, phone calls, hotel bills for non-program beverages or other hotel services ordered. Airfare or land travel to and from Portugalare not included.

Insurance: We strongly advise you to purchase trip cancellation insurance to prevent needless loss due to an accident, illness, or other unforeseen events or circumstances involving you, a family member, traveling companion, his/her family member, etc., causing you to cancel prior to departure or leave the program early. Depending on your specific needs, ‘A Cooks Tour’ offers, a full range of insurance policies for this trip. Call David Iverson at 425-557-9905 or Denine Hughes at 206-343-7000 for insurance options.

In order to cover a pre-existing condition, your insurance coverage must be purchased within 10 days of making a deposit for this trip.

Health/Medical conditions: While this is not a physically strenuous trip, it is expected that all registrants will carefully consider their personal medical or physical limitations, condition and potential challenges prior to registering for the trip. Be aware that a second registration form will be sent following the receipt of this registration. It is expected that any health conditions that could impede your ability to fully participate, in the tour schedule, will be noted with your other personal information (passport, emergency contact, food allergies, etc.) on this form.

Cancellations and Refunds: Cancellations must be received via letter or email. Cancellation fees are as follows: 1) cancellations received prior to February 8, 2016 will forfeit $500 of payments to date per person; 2) cancellations received after February 8 will receive no refund.

About the Program Cost: The program cost is based on the dollar/euro rate of exchange of $1 to 1.10 Euro and is subject to change in the event of a rate of exchange change increase exceeding 5%. Enrollees will be duly advised about such a change in the program cost, should it be necessary.

Arrivals and Departures: The program begins and ends at the place and times stated on the program itinerary page and in confirmation materials that will be mailed to you. In the event a participant is early or late at the arrival point and/or early or late leaving at the end of the program, she/he is responsible for arranging her/his own transfers and for any cost or expense thereof.

Non-refundable tickets and reservations: ‘A Cooks Tour’ does not recommend the purchase of non-refundable airline tickets, and is not responsible for expenses incurred by participants who book such tickets or make pre-paid hotel or other non-refundable reservations, until the minimum enrollment for the program has been reached. Should you be considering making such reservations nonetheless, be sure to check with our office as to the enrollment status of the program to see if it has reached the minimum number (15) for operation.

Program Minimum Size and Cancellation: ‘A Cooks Tour’ reserves the right to cancel the program(in consultation with FCP/DPG) in the event that enrollment does not reach the budgeted minimum of 15 participants. In the event of cancellation, those enrolled may receive a refund up to the full program cost, however if cancellation comes shortly before the program start date and is caused by acts or occurrences beyond our control, and advance deposits made to program vendors/providers cannot be refunded to us, then the refund of the program cost to participants will be affected accordingly.

Itinerary Changes: Program vendors/providers in Portugal may change personnel, prices, policies, ownership, location or the way they do business. We constantly monitor such events, and reserve the right to make any necessary changes to the itinerary as a result, either before or during the program. Should it become necessary or advisable for the comfort or well-being of participants, or upon damage, loss, accident, delay or irregularity of any vehicle, equipment or machinery, or in transporting or lodging the participants or for any reason whatsoever to alter the itinerary or arrangements, such alterations or changes may be made without prior notice or liability or penalty to ‘A Cooks Tour’.

Travel Documents: US and Canadian citizens are required to have a valid passport for travel to and within the European Union. It is each participant’s sole responsibility to be in possession of valid travel documents, including passport, required for leaving the USA, entering and leaving Italy, and re-entering the USA. (Note that the US Passport Office recommends that passports be valid for at least 6 months beyond the intended return to the USA.) No refund of the program cost will be made, nor will any expense incurred by a participant due to forgotten, lost, invalid or expired travel documents before or during the program be reimbursed by ‘A Cooks Tour’.

Limitations of Liability: ‘A Cooks Tour’ neither accepts nor assumes liability or responsibility of any kind or nature for any fault, defaults, errors, omissions or negligence of any person, school, association, company or other type of service provider used in connection with the delivery of the program; nor for any loss, injury or damage to person or property connected with accommodations, transportation or other types of services. “A Cooks Tour’ is not responsible, directly or indirectly, for cancellations, delays, amendments, loss or additional costs incurred by participants due to acts of nature, civil unrest or disturbances, strikes, work stoppages, fire or arson, thefts or inclement weather.