I understand this tour/trip/activity ______________________________________________ (name of tour), involves risks (and rewards) above and beyond those encountered on a more conventional tour.

I understand those risks and have provided my Guide with details of any pre-existing medical conditions I may have.

I fully assume the risks of travel and fully and forever release and GuideAdvisor.com, ____________________________________________(name of Guide/Operator) and all other related, affiliated, associated or otherwise connected corporations, partnerships, individuals and other entities and all of their respective officers, directors, employees, contractors, agents, successors and assigns (collectively, the “Releasees”) from any costs (including, without limitation, actual legal costs), claims, demands, actions, causes of action and liabilities whatsoever for any and all losses, damages, death or injuries to persons or loss of property, which may be sustained by me in connection with or in any way relating to this trip, due to any cause or reason whatsoever including, without limitation, the reckless, willful or negligent actions or omissions of the Releasees or any other person or persons.

Start date of tour: _______________________________

For the traveller(s):

Per:_________________________________

Print name:_________________________________

Per:_________________________________

Print name:_________________________________

Per:_________________________________

Print name:_________________________________

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