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Assumption Of Risk document for Man Expeditions Guided Tours 

In consideration of the services of M21 Media Inc. d.b.a. Man Expeditions, their agents, owners, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as Man Expeditions ), I herby agree to release, indemnify, and discharge Man Expeditions, on behalf of myself, my heirs assigns, personal representative and estate as follows:

I acknowledge that adventure travel entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death, or damage to myself, to the property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

The risks include, among other things: boat capsize; tidal conditions and currents, travel in remote areas, collision with objects or other watercraft; prolonged exposure to cold water, hypothermia, accidental drowning: illness in remote areas; exposure to sun, strong wind, cold storms, large waves, eddies and whirlpools, and lightning; aggressive and/or poisonous marine life, wrist, shoulder, and/or back injuries; slips and falls while hiking, and rapidly changing adverse weather and water conditions.

Furthermore, the Man Expeditions hired guides have difficult jobs to perform. They seek safety, but they are not infallible. They might be unaware of a participant’s fitness or abilities. They might misjudge the weather, the elements or the terrain. They may give inadequate warnings or instructions, and the equipment being used might malfunction.

I expressly agree and promise to accept and assume all the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.   

I herby voluntarily release, forever discharge, and agree to indemnify and hold harmless Man Expeditions from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Man Expeditions equipment or facilities, including any such claims which allege negligent acts or omissions of Man Expeditions.

Should Man Expeditions or anyone acting on their behalf, be required to incur attorneys’ fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.

I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating or else I agree to bear the costs of such injury or damage to myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of all risks that may be created, directly or indirectly, by any such condition.

I agree and accept the full terms and conditions as published on the Man Expeditions website: http://www.manexpeditions.com/booking-terms/

I FURTHER AGREE that any controversy or claim arising out of or relating to my participation in a Man Expeditions trip and/or this Agreement, or the making, performance or interpretation thereof, shall be settled under the laws of the Province of Ontario, Canada, without reference to its conflicts of laws rules.  I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Membership Terms
I accept the pricing of this trip I booked through Man Expeditions and I understand that the pricing also factors in admin staffing costs, planning and vetting vendors during the 12 month pre-trip planning phase in addition to the actual hard costs.*
Yes
No
It is my responsibility to ensure I have sufficient travel insurance to cover ( but not limited to) personal injury, medical expenses, and trip cancellation. I will declare all the trip activities to my insurance agent so proper coverage can be given.*
Yes
No
Misconduct and disruptive behaviour on any Man Expedtions trip will not be tolerated and will result in immediate expulsion from the trip with no refund. Please confirm your understanding by checking each of the disclaimers below: *
I understand I will be ejected from a Man Expeditions trip if I engage in any negative racial, political, and/or religious discussions which may be offensive to other guests
I understand I will be ejected from a Man Expeditions trip if I engage in any negative gossip about other guests
I understand I will be ejected from a Man Expeditions trip if I am verbally abusive or disruptive to the other guests
I understand I will be ejected from a Man Expeditions trip if I am verbally abusive to any of the Man Expeditions Staff, volunteers or sponsored affiliates.
I understand unforeseen weather conditions may cause an activity on the trip to be delayed, rescheduled or cancelled due to safety reason. I accept this risk understanding no refunds will be issued in the rare event weather makes participation unsafe.*
Yes
No
I understand Man Expeditions has a strict no refund policy even in the event I may have to cancel for any reason. I understand having sufficient travel insurance is very important for cancellation coverage.*
Yes
No
I understand it is my responsibility to check with my doctor I am healthy enough to participate in the expedition I have booked.*
Yes
No
I understand the ethos behind Man Expeditions trips which focuses on team work, accepting each others strengths and weaknesses and supporting one another while we experience an adventure of a lifetime together.*
Yes
No
I have read the itinerary published on the Man Expeditions website and understand exactly what I have signed up for.*
Yes
No
Please indicate if you have any food allergies below: *
None
Gluten
Lactose
Other

If other, please list your food allergies here.
Emergency Contact

Name

Contact Email/Number
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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