COVID-19 Travel Waiver COVID-19 Travel Waiver Traveler Details Please provide each traveler’s name EXACTLY as it appears in their passport and date of birth. How many passengers? * 12345678910 Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Contact Information Street Address City State / Province / Region Zip / Postal Code Email Address * Phone Number * Dates of Travel Departing * Returning * Please use this Drop Down Menu to select the Travel Advisor working with you : * Melinda H.Neil H.Donnie T.Stacey A.Anna C.Mandy Z.Leslie S.Adam W.Renee W. Cancellation/Change Penalties Client has been made aware of cancellation/change penalties and dates penalties go into effect. Client chooses to continue with their reservation at this time, aware of risk of penalties should they not be able to commence travel. Client Initial * Travel Insurance Travel insurance is not automatically included in your package. Cancellation of your trip due to COVID-19 in most cases is not covered by travel insurers. Travel insurance will often cover for cancellation due to medical treatment of COVID-19 and should cover if you need medical treatment in destination due to COVID-19. If you are interested in purchasing travel insurance for your trip you may view Travel Guard Policies using the link below. https://bit.ly/PurchaseTravelInsurance Force Majuere clauses, included in most travel insurance policies, often state insurers will not cover cancellation or events related to epidemics and pandemics. Additionally State Department travel advisories and warnings may also affect coverages by insurers. Client understands that they are bound by the terms of the insurance policy as it relates to COVID-19. It is the client’s responsibility to review their policy and submit questions to the travel insurance company directly regarding policy coverages related to travel advisories and COVID-19. Insurance is highly recommended as travel suppliers, airlines and resorts often charge fees for trip change/cancellation after payment has been made. Dreams and Destinations Travel Agency is not responsible for penalties, fees or expenses related to COVID-19, or other events should you change/ cancel your trip. Or incur medical expenses during the course of travel. The cost of insurance is nonrefundable and insurance policies are non-transferable. Have you purchased, or do you plan to purchase travel insurance? * Yes No If no, please initial indicating you are aware of risks and still prefer to waive travel insurance coverages. State Department Travel Advisory-Global Health Advisory The Department of State offers U.S. citizens country specific advice travel advice ranging from 1-4 based on the country specific COVID-19 conditions. For the latest information regarding COVID-19, please visit the Centers for Disease Control and Prevention’s (CDC) website. You are encouraged to visit travel.state.gov to view individual Travel Advisories for the most urgent threats to safety and security. Please also visit the website of the relevant U.S. embassy or consulate to see information on entry restrictions, foreign quarantine policies, and urgent health information provided by local governments. Travelers are urged to enroll in the Smart Traveler Enrollment Program (STEP) to receive Alerts and make it easier to locate you in an emergency. The Department uses these Alerts to convey information about terrorist threats, security incidents, planned demonstrations, natural disasters, etc. For emergency assistance, please contact the nearest U.S. Embassy or Consulate or call the following numbers: 1(888) 407-4747 (toll-free in the United States and Canada) or 1 (202) 501-4444 from other countries or jurisdictions. If you decide to travel abroad or are already outside the United States: Have a travel plan that does not rely on the U.S. Government for assistance to return home should conditions require immediate travel back to the United States. Review and follow the CDC’s guidelines for the prevention of coronavirus. Check with your airline, cruise lines, or travel operators regarding any updated information about your travel plans and/or restrictions. Visit travel.state.gov to view individual Travel Advisories for the most urgent threats to safety and security. Visit our Embassy webpages on COVID-19 for information on conditions in each country or jurisdiction. Visit the Department of Homeland Security’s website on the latest travel restrictions to the United States Please initial indicating you are aware of the US Department of State travel travel advice related to COVID-19 * COVID-19 Entry Requirements Client is aware that immigration restrictions may be put in place before, or during your travels, that may impede your ability to enter or exit your destination as planned. It is the responsibility of the traveler to coordinate any necessary medical testing and submit any travel forms required by their destination for entry. This must be done by the client and not the travel advisor. Dreams and Destinations, Inc. will not arrange, nor make recommendations for testing and testing locations related to COVID-19 testing requirements by destinations. Dreams and Destinations, Inc. will forward websites detailing destination entry requirements to client. It is up to client to continue to check these sites regularly as entry requirements change frequently due to COVID-19 impacts. Dreams and Destinations, Inc. is not responsible for cancellations or denied boarding related to failure to comply with mandatory COVID-19 entry requirements to destination. Client is aware that additional screening procedures and restrictions may take place at airports and in public areas. Client is aware that these restrictions may include mandatory face coverings and/or temperature checks in airports, hotels, cruise ships, trains or other means of transport. Measures may also include additional screenings and testing which may result in government quarantines in destination for a period of days to weeks, at the traveler’s expense. Client Initial * Signature in Agreement Client is aware that it is his/her personal decision to travel and is doing so with full knowledge of current travel warnings, recommendations and restrictions regarding COVID-19. Client understands the risks, and takes full responsibility for their travel. Client is aware that Immigration restrictions may be put in place before or during their travels that may impede their ability to enter, or exit, their destination as planned. Client agrees they will not hold Dreams and Destinations, Inc. liable, or responsible, for any travel restrictions, death, illness, cancellations, financial loss, quarantining rules or measures put in place in the USA, at airports or in destinations they are traveling through/to. Client further agrees to indemnify and hold Dreams and Destinations entities harmless for any financial penalties or fees imposed by the by suppliers, hotels, airlines, cruise lines, tour agencies or any other travel provider due to cancellations, postponements, including any and all COVID-19 impacts. Client agrees not to institute a credit card dispute or “charge back” to Dreams and Destinations, Inc. for any penalties or fees. Signature (Use finger or mouse to sign) * Clear Terms and Conditions * I Agree to the Terms If you are human, leave this field blank.
