Release and Waiver for Services (including COVID-19) - Luxury Trips

Please enter the following information so that we may generate your release waiver, which you will have the opportunity to review and sign electronically.

This form is required for each person traveling.

Name*
First Last
Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Countries you are traveling to:*
Trip Start Date*
Month
Day
Year
Trip End Date*
Month
Day
Year
Emergency Contact*
First Last
Relationship
Phone*
Email*