Insurance Waiver Form

Travel Insurance *

I Accept Travel Insurance

I decline travel Insurance

Name/s- per your reservation: *

I understand that I may purchase travel insurance to cover certain risks inherent in travel such as supplier bankruptcy, cancellation fees assessed by suppliers and the inability to travel due to a medical or personal emergency. Please check and initial your acceptance or refusal of travel insurance below. Understand that cancellation fees may be imposed on any or all parts of travel. I have been advised of all supplier’s refund charge and cancellation fees and penalties. I am aware that the airline ticket may be subject to the loss of some (or all) of the fare, should I elect to change or cancel this reservation. Therefore, Journey To Paradise Travel & Tours strongly advises that everyone protects their investment by purchasing some type of travel protection program. Please check the State Department website at http://travel.state.govfor further information. Immunizations may also be required.
NOTE: to cover pre-existing conditions insurance must be purchased within 14 days of trip deposit I assume and understand that there is a risk involved with my travel and my travel activities and/or excursions. I acknowledge that I was informed about my options but I declined the insurance.

Initial *

clear

I have been advised that cancellation, change or refund penalties do apply to the travel associated with these documents and I fully understand the terms and conditions of such penalties. I have read and understand the above paragraphs, initialed the applicable spaces and agree to the terms as stated.

Signature *

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Date of Signature * +