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Anthrotourism Common Answers Vehicles What To Expect Policies Release Form |
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Please print out this form and mail it to:American Dream Safari As a condition of acceptance, each participant must agree to and sign the following statement: Release: The undersigned has carefully read the list of activities and conditions as listed in the program materials and is/are aware that the tour and its activities involve risk of personal injury and damage or loss of property. In consideration of the benefits to be derived from participation in the tour the undersigned vouluntarily accepts all risk of personal injury and property damage or loss arising from participation in the tour and hereby agrees that he/she and his/her dependents, heirs, executors and assigns, do release and hold harmless American Dream Safari, cooperating organizations, the tour operator and the employees officers, directors, trustees or representatives of any of them, from all claims of illness, bodily injury, death or property damage or loss, however caused, arising from or related to the tour. The undersigned has read carefully this agreement, and will abide by the conditions set by American Dream Safari as described under General Information and other sections as stated herein or elsewhere published. The undersigned affirms that he/she has not received or relied on any oral/written representation of American Dream Safari as a basis for executing this release. I/We have read and agree to the terms and conditions for this program, especially noting the policy on cancellation and responsibility. Name:____________________Signature:____________________ (Please Print) Name:____________________Signature:____________________ (Please Print) Name:____________________Signature:____________________ (Please Print) Name:____________________Signature:____________________ (Please Print) Date:________________ |
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