AMBER FOSTER TRAVEL CO TRAVEL QUESTIONNAIRE

Thank you for requesting a travel quote with Amber Foster Travel Co! Please complete this form with detailed information in order to receive the best travel options.  Amber Foster Travel Co provides quotes for worldwide travel for up to a year in advance.  After completing, please allow a minimum of 24 business hours or 3 hours for processing.  Amber Foster Travel Co's goal is to exceed your travel expectations! There is no need to search for travel online, as I do all of the work  for you? Please be sure to check your spam account for my emails. (amberfostertravelco@gmail.com)
Will you be using my Easy Pay Installment Plans for your travel? There are no interest fees, credit checks or financing required to use my Installment plans. (In order to use this plans, travel has to be at least 45 days in advance) *

Vacation/Travel Type

Travel Request (Click all that Apply) *

Client Information

Tell Me About Your Travel....

COVID-19 Liability Waiver/Monkeypox Liability Waiver
 
‎Due to the 2019-2020 outbreak of the novel Coronavirus (COVID-19), Amber Foster Travel Co is‎
‎not responsible, when booking, for the responsibility of anyone who has symptoms or before or after departure to their destination.‎‎ ‎

‎People with COVID-19 have had a wide range of symptoms reported – ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with these symptoms may have COVID-19:‎
Symptoms of COVID-19 include:
  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea

During your trip, take steps to protect yourself and others from COVID-19:

  • Wear a mask to keep your nose and mouth covered when in public settings.
  • Avoid close contact by staying at least 6 feet apart (about 2 arms’ length) from anyone who is not from your household.
  • Wash your hands often or use hand sanitizer (with at least 60% alcohol).
  • Avoid contact with anyone who is sick.
  • Avoid touching your eyes, nose, and mouth.
 
When to seek emergency medical attention

Look for *emergency warning signs* for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately:

  • Trouble breathing
  • Persistent pain or pressure in the chest
  • New confusion
  • Inability to wake or stay awake
  • Bluish lips or face

‎I agree to the following:‎
‎• I understand the above symptoms and affirm that I, as well as all household‎
‎members, do not currently have, nor have experienced the symptoms listed above‎
‎within the last 14 days.‎‎ ‎
‎• I affirm that I, as well as all household members, have not been diagnosed with‎
‎COVID-19 within the past 30 days.‎‎ ‎
‎• I affirm that I, as well as all household members, have not knowingly been exposed‎
‎to anyone diagnosed with COVID-19 within the past 30 days.‎‎ ‎
‎• I affirm that I, as well as all household members, have not traveled outside of the‎
‎country or to any city considered to be a “hot spot” for COVID-19 infections within‎
‎the past 30-days.‎‎ ‎
‎• I understand that Amber Foster Travel Co. cannot be held liable for any exposure‎
to the COVID-19 virus caused by misinformation on this form or the health history
provided by each client.
 
MONKEYPOX 
 
Monkeypox is a rare disease caused by infection with the monkeypox virus. Monkeypox virus is part of the same family of viruses as variola virus, the virus that causes smallpox. Monkeypox symptoms are similar to smallpox symptoms, but milder, and monkeypox is rarely fatal. Monkeypox is not related to chickenpox.
 

Monkeypox Symptoms

Monkeypox is a rare disease caused by infection with the monkeypox virus. Monkeypox virus is part of the same family of viruses as smallpox. Monkeypox symptoms are similar to smallpox symptoms, but milder; and monkeypox is rarely fatal. Monkeypox is not related to chickenpox.

Symptoms of monkeypox can include:

  • Fever
  • Headache
  • Muscle aches and backache
  • Swollen lymph nodes
  • Chills
  • Exhaustion
  • Respiratory symptoms (e.g. sore throat, nasal congestion, or cough)
  • A rash that can look like pimples or blisters that appears on the face, inside the mouth, and on other parts of the body, like the hands, feet, chest, genitals, or anus.

The rash goes through different stages before healing completely. The illness typically lasts 2-4 weeks. Sometimes, people get a rash first, followed by other symptoms. Others only experience a rash.

 

How it Spreads

Monkeypox spreads in different ways. The virus can spread from person-to-person through:

  • direct contact with the infectious rash, scabs, or body fluids
  • respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact, such as kissing, cuddling, or sex
  • touching items (such as clothing or linens) that previously touched the infectious rash or body fluids
  • pregnant people can spread the virus to their fetus through the placenta

It’s also possible for people to get monkeypox from infected animals, either by being scratched or bitten by the animal or by preparing or eating meat or using products from an infected animal.

Monkeypox can spread from the time symptoms start until the rash has fully healed and a fresh layer of skin has formed. The illness typically lasts 2-4 weeks. People who do not have monkeypox symptoms cannot spread the virus to others. At this time, it is not known if monkeypox can spread through semen or vaginal fluids.

 

Prevention Steps

 

Take the following steps to prevent getting monkeypox:

  • Avoid close, skin-to-skin contact with people who have a rash that looks like monkeypox.
    • Do not touch the rash or scabs of a person with monkeypox.
    • Do not kiss, hug, cuddle or have sex with someone with monkeypox.
    • Do not share eating utensils or cups with a person with monkeypox.
  • Do not handle or touch the bedding, towels, or clothing of a person with monkeypox.
  • Wash your hands often with soap and water or use an alcohol-based hand sanitizer.
 

Treatment

There are no treatments specifically for monkeypox virus infections. However, monkeypox and smallpox viruses are genetically similar, which means that antiviral drugs and vaccines developed to protect against smallpox may be used to prevent and treat monkeypox virus infections.

Antivirals, such as tecovirimat (TPOXX), may be recommended for people who are more likely to get severely ill, like patients with weakened immune systems.

If you have symptoms of monkeypox, you should talk to your healthcare provider, even if you don’t think you had contact with someone who has monkeypox.

 
 
 
By submitting this form, you acknowledge that you have read, understand, and agree to quoting, booking, and processing terms and conditions listed on the Amber Foster Travel Co Travel Questionnaire. *
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