Crystal - Travel Insurance Accept or Decline Form

Travel Insurance Accept or Decline Form
Your Name*

First NameLast Name
Beginning Date of Travel*

MonthDayYear
Travel Advisors Name*
Travel Advisor's First & Last Name
Travel Protection/Trip Cancellation Waiver: I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also make my own separate travel, medical, and any other provisions in the event of an emergency while I am traveling. I also understand that I am not protected from loss in the event of any travel vendor, travel supplier, or any travel-related operator default. This waiver confirms that I voluntarily declined travel insurance and travel protection insurance for the trip described above. I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply, and I hereby release Must Love Travel, LLC and its agents from any and all liability related to the trip described above.
Choose Yes or No below*

Yes, I accept and will purchase travel protection/trip insurance for all trip participants.No, I decline to accept travel protection/trip insurance for all trip participants.
I have read this document; I understand this document and all the consequences resulting from my decision to purchase or decline trip protection and trip insurance. This waiver must be signed by each adult traveler over 17 years old
Signature*

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Date*

MonthDayYear
Date
Printed Name*
Signature of 2nd Traveler*

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Date*

MonthDayYear
Date
Printed Name of 2nd Traveler*
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