Travel Protection Insurance Waiver
PLEASE READ CAREFULLY: Your upcoming trip is a significant investment which may be covered for your protection. You have the option of insuring your trip for a variety of circumstances. As part of our service in fulfilling your travel needs, we require your acknowledgement that Vacation Protection Insurance was offered for your protection. If you choose to decline coverage, you are assuming any financial loss associated with your travel arrangements and will not hold DW Destinations LLC and/or its agents, liable for any said incurred expenses. This includes, but is not limited to, airline tickets, ground transfers, hotels, theme park tickets, excursions and any other vacation component not listed here. YOU assume all financial liability and loss for any issues that arise without Vacation Travel Protection Insurance. By signing below, I understand that declining travel insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance, there may be no way to recoup any losses, costs or expenses incurred. If I decline the offer to purchase travel protection / trip insurance. 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 if I have chosen to decline travel insurance, I voluntarily declined travel insurance and travel protection insurance for the trip booked through DW Destinations LLC. I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply, and I hereby release DW Destinations, LLC and its agents from any and all liability related to the trip.
Client Full Name
First Name
Last Name
Email
example@example.com
I acknowledge that I was presented with the opportunity to purchase Travel Protection Insurance to protect my vacation investment, by my travel planner.
Yes, I agree
Please choose ONE: *
YES, I choose to purchase Vacation Protection Insurance and protect my vacation investment
NO, I choose to not purchase Vacation Protection Insurance and accept all financial risk as stated above
Please list the name of your vacation specialist: *
Date
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Month
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Day
Year
Date
Signature
Submit
Should be Empty: