Course Application Form

Name: -----------------------------------------------------------------   Course Date: -----------------------------------

Address:----------------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------------------------

Phone: home (       )                                  work (       )                                  fax (       )

Email: -----------------------------------------------------------

Age: --------------         Sex: ------------------         Occupation: -----------------------------------

How did you hear about this program? -----------------------------------------------------------

Cancellation Insurance:  (tick one)         p I do require             p I do not require

Payment,  please accept my: (tick one)     p Deposit                  p Payment in full

p Cheque/money order enclosed            p I wish to pay by credit card:     p Visa p MC

Credit Card Number ----------------------------------------------------------------------------

Expiry Date --------------------------------------------------------------------------------------

Name On Card -----------------------------------------------------------------------------------

Signature Of Cardholder ------------------------------------------------------------------------

(Read and understand these conditions carefully before signing)

1. REGISTRATION

(All payments are to be made to 'Yamnuska Inc' and in Canadian funds or US$ equivalent.)

A. Medical: Applications are conditional upon receipt of the candidate's completed course medical. This medical must be received by Yamnuska Inc. within five weeks of application or your cancellation insurance becomes void. Where any doubts regarding medical fitness exist then the applicant should arrange to take the medical prior to applying (medical forms available on request) as our regular cancellation penalties apply in all cases following initial registration.

B. Refunds & Cancellations: Most course expenses are incurred by Yamnuska Inc. while preparing for the students to attend the course. These policies reflect the fact that we cannot cover these costs after late cancellations.

CANCELLATIONS: If Cancelling call Yamnuska Inc. immediately. this must be followed by notice in writing. the following cancellation penalties apply:

IF AN APPLICANT CANCELS:                                                                 YAMNUSKA WILL RETAIN:

1. Up to 8 weeks before program start:                                                               $535.00

2. Between 8 to 6 weeks before program start:                                                  Full deposit

3. From 6 weeks before start date and during program:                                   Entire sum paid.

CANCELLATION INSURANCE is available at an extra cost of $270. It is highly recommended. This covers you in case you have to cancel prior to the course due to health or medical reasons or in the event you have to terminate the course while attending due to health or medical reasons.THIS IS ONLY AVAILABLE ON BOOKING

C. Damage Deposit: A damage deposit of $100.00 is required from each participant prior to course start. This deposit is to defray the cost of repairing or replacing any gear damaged or lost through student misuse or inattention. If abnormal damage or loss does not occur the deposit will be refunded in cash at the end of the course.

D. If tuition is not paid in full on dates due, Yamnuska Inc. may regard this as cancellation on your part.

E. Yamnuska Inc. reserves the right to cancel courses and refund fees upon cancellation without penalty to Yamnuska Inc.

F. Yamnuska Inc. reserves the right to refuse admission to or expel anyone who is a danger to the environment, her/himself, or others, for gross misconduct, or who, in the opinion of the school or its agents, would be unable for any reason to satisfactorily complete the course requirements.

SIGNATURE OF APPLICANT________________________________ DATE____________________