Travel Details, Insurance Details & Bio Form

Insurance Form
Thank you for taking time to read and complete this insurance form and for providing us with your insurance policy details. If you have any questions please let us know.
Your name:*

First NameLast Name
Your email:*
example@example.com
Before we begin, please review our cancellation policy:

Cancellation Policy - A 25% deposit will hold your space on any PolarExplorers expedition. This payment is refundable until December 1 (for all North Pole expeditions) or 120 days prior to the expedition (for all other expeditions) less the following administrative fees:
- NORTH POLE EXPEDITIONS - €1000 per person
- SOUTH POLE EXPEDITIONS - $1,200 per person
- SOUTH POLE/VISON COMBO EXPEDITIONS - $1,500 per person
- GREENLAND EXPEDITIONS - $500 per person
- SOUTH GEORGIA EXPEDITIONS - $500 per person
- VATNAJOKULL EXPEDITIONS - $500 per person
- OTHER EXPEDITIONS - $500-$1,500 per person
- POLAR SHAKEDOWN TRAINING - $250 per person
We reserve the right to charge the balance against a credit card or resell the space if the balance is not received when due and/or cancel your booking and withhold the return of all payments.
Your initials acknowledge that you have read and understand our cancellation policy.*
Your initials
1) Travel insurance is an important part of any adventure travel. For your own protection PolarExplorers requires you to purchase a comprehensive policy that includes trip cancellation insurance, or sign a very clear Assumption Of Responsibility And Liability Waiver. Please consider the worst case imaginable before you waive travel insurance.
Your initials acknowledge that you have read and understand this section of our insurance policy.*
Your initials
2) We urge you to insure the full price of your expedition or training and any ancillary expenses including travel. If you do not insure for the full price of your expedition or training you assume all risks, financial or otherwise, for any amount that is not covered by insurance.
Your initials acknowledge that you have read and understand this section of our insurance policy.*
Your initials
3) Medical evacuation insurance is also required and minimum amounts of coverage exist for each expedition.
Your initials acknowledge that you have read and understand this section of our insurance policy.*
You initials
4) We cannot stress enough the importance of insurance. If you cancel your expedition or training, regardless of reason, no refunds or credits are possible within 120 days of an expedition. If the expedition is cancelled for reasons beyond our control (including from acts of God, acts of war, political instability, weather, disruption of providers, pandemics or other public health crises, etc.) the only possibility for compensation will come from your travel insurance provider.
Your initials acknowledge that you have read and understand this section of our insurance policy. *
Your initials
5) Purchasing trip insurance (both trip cancellation and medical evacuation) is your responsibility. We urge you to purchase insurance at the same time or within days of your initial deposit (this can be especially important if you have any pre-existing medical conditions). We can often assist by helping you get insurance quotes but our assistance should in no way prevent you from doing your own research or your timely purchasing of a policy.
Your initials acknowledge that you have read and understand this section of our insurance policy.*
Your intials
6) Please take time to read and understand the fine print of your policy including any limitations or restrictions. Any questions about your policy should be directed to your travel insurance provider. Carefully consider purchasing a “Cancel For Any Reason” policy.
Your initials acknowledge that you have read and understand this section of our insurance policy.*
Your initials
Please tell us about your insurance policy:*

It covers both trip cancellation and medical evacuation.Against the strong advice of PolarExplorers I am purchasing medical evacuation insurance but I am waiving cancellation insurance.I am participating in a Polar Training, and against the strong advice of PolarExplorers I am waiving trip cancellation or medical evacuation insurance.
Insurance company name:*
Policy number or name:*
Please provide the following information:
24 hour, world wide emergency phone number*

Country CodeArea CodePhone Number
Medical evacuation coverage limit*
Any restrictions on this coverage?
Does this policy cover an evacuation from the area of your expedition?*
Trip cancellation / interruption coverage limit:*
Upload your policy confirmation here:

Browse Files

Cancelof
READ AND SIGN - Assumption Of Responsibility And Liability Waiver

If you refuse to purchase trip cancellation insurance you are assuming ALL risks, financial and otherwise, and, by signature, you acknowledge that we have urged you to purchase trip cancellation insurance but you have refused despite understanding our cancellation policy which is stated in this document.

Cancellations and interruptions can happen for many reasons including, but not limited to, delays or cancellations by the logistics providers, global health restrictions and transportation issues, political or civil unrest, weather and natural disasters, visa denials or delays, border closings, and many other reasons. By refusing to purchase trip cancellation insurance you are assuming all liability and risk for your commitments, financial and otherwise. If an expedition gets cancelled for reasons beyond our control we will not be able to offer a refund or credit and the only possibility for refund, whether partial or full, would be from your insurance provider.

***************************

I have been urged to purchase trip cancellation / interruption insurance and I am refusing to do so. I acknowledge the above information including the ramifications of my refusal to purchase this insurance. I accept all financial responsibility for my decision and I will not hold PolarExplorers responsible for any expenses incurred by me as a result of my decision.
READ AND SIGN - Assumption Of Responsibility And Liability Waiver

If you refuse to purchase trip cancellation insurance insurance you are assuming ALL risks, financial and otherwise, and, by signature, you acknowledge that we have urged you to purchase trip cancellation insurance but you have refused despite understanding our cancellation policy which is stated in this document.

Cancellations and interruptions can happen for many reasons including, but not limited to, delays or cancellations by the logistics providers, global health restrictions and transportation issues, political or civil unrest, weather and natural disasters, visa denials or delays, border closings, and many other reasons. By refusing to purchase trip cancellation insurance you are assuming all liability and risk for your commitments, financial and otherwise. If an expedition gets cancelled for reasons beyond our control we will not be able to offer a refund or credit and the only possibility for refund, whether partial or full, would be from your insurance provider.

Medical evacuations, even from locations that are not considered remote, can be very expensive. They can include automobiles, snowmobiles, helicopter, dogsled or any number of expensive modes of transportation, medical expertise, skilled resucers and municipal or national support. If you refuse to purchase medical evacuation insurance you are assuming all risks, financial and otherwise that could arise from a medical evacuation, and, by signature, you acknowledge that we have urged you to purchase medical evacuation insurance but you have refused.

***************************

I have been urged to purchase trip cancellation / interruption insurance and medical evacuation insurance but I am refusing to do so. I acknowledge the above information including the ramifications of my refusal to purchase this insurance. I accept all financial responsibility for my decision and I will not hold PolarExplorers responsible for any expenses incurred by me as a result of my decision.
Your initials indicate that you have read and acknowledge this section of our insurance policy, and, importantly, that you understand the risks you are assuming by refusing to purchase trip cancellation / interruption insurance. *
Your initials here
Signature*
Date*

MonthDayYear
Date
Should be Empty: