Wise Women’s Journey………………….to Nepal /BhutanLataLove Travel Registration Form.
Personal Information (we will keep this confidential)
Your trip:WWJ Nov 2021
Full Name (as printed on your passport): ________________________________________________
Travel companion (if any): ____________________________________
Date of Birth:________________________
Mailing address: ________________________________________ __________________________________________
Contact Phone: _______________________
E-mail address: _______________________
Passport no: _________________
Place of issue: ________________________
Date of issue:____________________________
Date of expiration: ________________________
Who to notify in case of emergency? Name:_______________________________________________ Address:_______________________________________________________________ Telephone no.: _____________________________ Relationship:___________________________________________________________
Personal interests (hobbies, reading subjects, religions, gardening, shopping, wildlife, etc.?) ______________________________________________________________________
Do you have any health concerns we should know about? Include any medications: _____________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Do you have any special dietary requirements? Vegetarian? Vegan? Gluten Free? ______________________________________________________________________ ______________________________________________________________________ Room requirements. We provide twin sharing rooms automatically. You are welcome to request a single room for additional charge .________
Trekking: We will trek overnight with a tented camp( over 6 pax) and full Nepali staff, so you don’t need to carry anything. However, there will be long, steep downhill walks on some trails, which requires good knees. We do hope you have brought your good knees or you have option to stay in Pokhara at extra cost while enjoying the lake view, but everybody who has done the trek has completed it (our oldest participant was 78) and enjoyed the incredible scenery and villages. !! I understand the nature of the trek and I want to participate: Yes____ No____
Please include 1 photocopy of your passport main pages, along with 1 extra passport photos (You will need two more passport photos for your Visa form).
We keep these with us on the trip, and often find this useful during travel and in case of loss. We recommend you also keep a copy of your passport with you, along with photocopies of credit cards, etc. Keep them in a separate place.
If there’s anything else you would like us to know about you, please write it below or on the back.
Enclose $800- deposit. Please make checks or money order payable to LataLove or payment by credit cards/ Paypal with surcharge of 4% . This deposit is non-refundable, unless we have to cancel the trip.
Declaration: I have read and accept the LataLove Travel Booking Conditions. I appreciate the risks inherent in adventure travel and confirm I do not suffer from any disability or pre-existing medical condition which would prohibit full participation in the tour.
Signature: _____________________________________ Date: __________
LataLove 424-254-4208 HYPERLINK "mailto:email@example.com"
Pls include a photocopy of your passport!
LIABILITY RELEASE AGREEMENT
Please initial each paragraph and sign at the bottom
______1) I understand and hereby acknowledge that there are inherent and other risks involved in trips and activities of the kind and I freely and voluntarily assume those risks. In particular, I understand that this trip involves a hike/trek which can be challenging to some people.
______2) I agree to hold harmless and indemnify LATALOVE and any of their guides, leaders, agents, employees officers, directors, owners, associates, affiliated companies, manufactures of equipment, and subcontractors, for any loss or damage, including any that results from any claim for personal injury, death, or property damage.I do hereby expressly agree to defend the above-named parties against any kind of liability, actions, causes of action, debts, suits, claims, and demands of any kind whatsoever including attorney’s fees, which I or my heirs, assignees, successors or legal representatives may not have or which may hereafter arise out of or in connection with my trip or participation in activities arranged for me by the above-named parties.
______3) I hereby release and forever discharge LATALOVE and any of their guides, leaders, agents, employees, officers, directors, owners, associates, affiliated companies, manufactures of equipment and subcontractors from any and all liabilities for damage and injury or death to myself from any claim based upon negligence, recklessness, breach of warranty, contract or other legal theory, accepting for myself, my heirs, assignees, administrators, executors, and all members of my family, including minors accompanying me, full responsibility for any and all such damage, injury or death which may result.
______4) The terms of this agreement shall also include but not be limited to a covenant not to sue or make a claim against any of the above-mentioned parties.
______5) The terms of this agreement shall be binding upon myself, my heirs, assignees, and executors and all members of my family, including minors accompanying me.
______6) This agreement shall be construed in Accordance with and governed by the State law of California, without reference to choice of law rules.Further, I hereby covenant and agree that this agreement may be enforced in and I do hereby submit to the exclusive jurisdiction and venue of any court having subject matter jurisdiction located in State of California, in the event of any litigation concerning this Agreement, regardless of where this agreement is executed.
______7) Medical vaccination and other preliminary arrangements including all Visa procurements are entirely your responsibility and we accept no responsibility in the event that these are not completed in time of departure.
______8) To take part in one of our trips you must be covered by Travel Insurance, which must include the cost of repatriation and helicopter rescue if you become too ill to continue.We can provide you with an insurance policy (not included in this trip), which is designed to cover you for medical emergencies and evacuation. We reserve the right to cancel your booking at any time before departure if we are not satisfied that adequate insurance for you is not in place.You will be liable to reinburse LATALOVE for any money paid by us on your behalf for emergency medical transportation, repatriation, doctors, and hospital costs and any expenses related to your illness if you become too ill or injured to continue on the trip.
______9) No refund or compensation will be made or given for any unused hotel accommodation, air tickets or any other unused service or feature of the tour.
_____ 10) Any flights forming part of your trip will be subject to the General Conditions of Carriage and the Conditions of Contract of the Airline concerned, as described on the airline ticket. Such flights will also be subject to International law, which often limits the airline liability to passengers in respect to death h or bodily injury, delay and loss or damage to baggage. We reserve the right to substitute alternative Carriers and /or aircraft types if necessary. This brochure is the responsibility of the tour operator. It is not issued on behalf of and does not commit the airlines mentioned therein, or any airline whose services are used in conjunction with the tours.
______11)Neither LATALOVE, nor the owners of the services provided will entertain any complaint unless written notice is given to LATALOVE within 28days of the end of the trip.
______12)The booking conditions may only be waived by LataLove/ Lata Tulachan and in writing.
I declare that I have read and understood this agreement.