Please enter the name of the tour * Acknowledgement of Risk & Photo Release
I acknowledge that there is a significant element of known and unanticipated risk in any adventure, sport or activity associated with the outdoors which could result in physical or emotional injury, damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity. Knowing the inherent risks, dangers and rigors involved in these activities, I certify that I am fully capable of participating in the activities.
I certify that I have adequate insurance to cover any injury or damage I may cause to suffer while participating. I further certify that I have no medical or physical conditions that could interfere with my safety in this activity. I understand that I follow the suggested itinerary at my own risk and agree not to hold TRAVEL VISION JOURNEYS responsible for injury or death resulting from accidents or improper use of any machinery. TRAVEL VISION JOURNEYS is the principal tour operator for these tours and is responsible to all the participants for all arrangements and for all tour services and accommodations offered. TRAVEL VISION JOURNEYS, its agents, servants and employees shall not be held responsible for personal injuries or property damage, loss, or delay, or change of itinerary incurred by any person or tour participant arising out of the act of negligence of any direct or supplemental carrier, hotel or other person rendering any of these services, or accommodations being offered in these tours; nor shall TRAVEL VISION JOURNEYS be responsible for injuries, death, damage, loss or delay in any means of transportation or by reasons of any event beyond the actual control of TRAVEL VISION JOURNEYS, or any agent or supplier or due to force majeur. TRAVEL VISION JOURNEYS reserves the right to substitute hotels, restaurants or other services listed in the itinerary with compatible services if necessary. The right is also reserved to decline or retain any person as a member of a trip due to circumstances beyond the control of TRAVEL VISION JOURNEYS. TRAVEL VISION JOURNEYS reserves the right to use any photos taken on tour for marketing/promotional purposes. Electronic Signature
By entering your full name and date below, you acknowledge that you have had sufficient opportunity to read this entire document and agree to be bound by its terms.
First Last Check here to certify that all the information provided in this form is correct and complete to the best of your knowledge, and that you have read the "Acknowledgement of Risk & Photo Release" waiver in its entirety and agree to be bound by its terms. *
You must accept in order to complete your registration.
Is this form being completed for a minor? Parent or Guardian's Additional Indemnification
In consideration of Minor named below, Minor being permitted by Travel Vision Journeys to participate in its activities and to use its equipment and facilities, I further agree to indemnify and hold harmless Travel Vision Journeys from any and all Claims which are brought by, or on behalf of Minor, and which are in any way connected with such use or participation by Minor.
Name of Minor
First Last Personal Information Emergency Contact
Whom should we contact in the event of an emergency on tour?
First Last Phone Relationship Friend Child Relative Spouse Neighbor Other Passport Number Birthplace (Region, Country) Ex. Maine, United States Nationality Passport Number Date of Birth
Passport Date of Issue
Passport Date of Expiration
Medical History Please list any medical conditions or medications here.
Example: "Quintuple bypass surgery 6 months ago" or "I take Prilosec." If none, enter "None."
Dietary Requirements Food Allergies and/or other Dietary Restrictions
Example: "No gluten" or "I'm a Pescatarian." If none, enter "None."
If you have any other notes or requests you'd like us to know about, please enter them below.
Other Notes or Requests