Please read and sign where indicated, confirming that you have declined to
purchase trip/travel insurance and release AP Travel Services from any liabilities.
I, the undersigned, have been informed of the insurance coverages available to me.
I understand that this insurance would have provided the following coverages but not limited to:
• Trip Cancellation & Interruption
• Emergency Medical Transportation
• Emergency Medical Expense Coverage
• Lost/Damaged Baggage/Personal Items
By signing below, I acknowledge:
1. That such insurance coverage was offered to me and I am declining to purchase
that insurance.
2. That I hereby RELEASE, WAIVE, DISCHARGE, and AGREE NOT TO BRING LEGAL
ACTION AGAINST AP Travel Services, its owners, agents, employees and clients
from any and all liability, claims, demands, actions, and causes of action
whatsoever arising out of or related to any loss, damage, sickness, or injury,
including death, that may be sustained by me and/or to any property belonging
to me or otherwise, while participating in ANY travel-related activity, while being
transported to and from such activity, or while in, on or upon the premises where
the activity is being conducted.
3. That I understand the risks and hazards involved in ANY travel-related activity.
I hereby elect to voluntarily participate in these activities knowing that they may
be hazardous to me and/or my property. I VOLUNTARILY ASSUME FULL
RESPONSIBILITY FOR ANY RISKS OF LOSS, PROPERTY DAMAGE OR PERSONAL
INJURY, INCLUDING DEATH, that may be sustained by me, or any loss or
damage to property owned by me or otherwise, as a result of being engaged in
such activities.
4. That, where multiple parties are part of the same family, group, booking, trip or
travel activity, this statement applies to all individuals on that booking and I
have the legal right and authority to covenant and sign on their behalf.