RELEASE AND ASSUMPTION OF RISK
am aware that during the expedition, workshop, trip, activity or program ( herein “Activity”) I am participating
in through Heart & Soul Essence, L.C., and its affiliates such as Kontiki Tours, Welsat Travel, and Colca Canyon Tour Agencies certain risks may occur. These risks include, but are not limited to, the
hazards of traveling at high attitudes, on rivers and waterways, hiking, mountain climbing, retreats, forces of nature, travel
by air, automobile, bus, boat, train, and other conveyance, loss of or damage to personal property, injury or fatality due
to high altitudes, collision with vehicle, boat, rock, log, or tree, or offshore the capsizing of a boat or other vessel,
accident or illness in a remote place without medical facilities, water damage due to leaking bags or other containers, exposure
to temperature extremes and inclement weather, and other risks and dangers which may result in serious injury or death.
consideration of, and as part of payment for the right to participate in the Activity and the services arranged through the
Heart & Soul Essence L.C., and its affiliates, I hereby assume all risks,
and voluntarily release and waive all claims against the Heart & Soul Essence L.C.
and its affiliates, officers, directors, employees, agents, and representatives,
and will hold them harmless from any and all liability, action, cause of action, debts, negligence, claims, demands and damages
of every kind or nature whatsoever, whether direct or indirect, contingent, consequential or otherwise, arising out of, related
to, or which may be brought by myself or a third party in connection with my participation in the Activity or any other activities
arranged by, through, or with Heart & Soul Essence L.C. This agreement shall serve as a release, assumption of risk and
hold harmless provision for me, my heirs, executors, administrators and assigns, and all members of my family, including any
minors. I have read and agree to these terms and conditions. Heart &
Soul Essence and its affiliates will rely on this release in allowing me to participate in these activities
_____ Please check box. I have read and agree with the above
terms and releases.
Sign above and
scan and email two copies to Heart & Soul Essence L.C. before March 1 at firstname.lastname@example.org
Journeys 2012 – Tour Conditions
Excellent Hotel and Retreat accommodations based on double occupancy.
Continental breakfasts in all hotels.
All transfers by private motor coach or train.
Porters and baggage handling from airports on first and last day of trip itinerary.
All entrance fees to sites as outlined in programs.
All activities, archeological tours, teachings, and personal assistance from our qualified staff.
Airfare, international or domestic.
Airport departure taxes.
Lunch and Dinner
Transfers for early arrivals or late departures.
Additional hotel nights made necessary by airline schedule changes or other factors.
Cost of medical immunizations, if any. Medical evaluations, or emergency evacuation.
Items of a personal nature.
Hotel nights are non–transferable.
Reservations: All reservations are subject to availability. A deposit is required to confirm
your reservation. Deposit of $1200 due by January 20 and Balance of $2400 due
by March 1.
ask that persons come to our programs for educational reasons, and not to seek
of any kind. Persons with health or psychiatric problems may find some programs physically and mentally trying and risky.
We recommend that in case of doubt, a physician or mental health professional be consulted.
Costs: All prices are per person, double occupancy (when lodging is included).
Cancellations and Refunds: Due to the limited availability of space on our trips and the time
required to process trip reservations within our office, your deposit of $1200
will not be refundable. We strongly recommend purchasing travel insurance in order to protect yourself in case
extenuating circumstances force you to cancel your trip. If you must cancel your program, all payments, less your deposit,
will be refunded in full if written cancellation is received by Heart & Soul Essence L.C. 90 days before the programs
start date. Between 89 and 50 days the cancellation fee is 50% of the land or program cost. Between 49 and 30 days the cancellation
fee is 75% of the land or program cost. Between 29 and 1 days, and no-shows, the cancellation fee is 100% of land or program
Responsibilities: Heart & Soul Essence L.C. reserves the right to accept or reject
any person as a participant at any time, and to make changes in the itinerary whenever deemed necessary for the comfort, convenience,
and safety of our participants, and to cancel a program at any time. In the event a program is cancelled, Heart & Soul
Essence L.C. shall have no responsibility beyond the refund of monies paid to it by program participants as listed. By registering,
the participant agrees that neither Heart & Soul Essence L.C. nor its affiliates shall be liable for any damages, loss
or expense occasioned by any act or omission by any supplier providing services to any program participant.
check box. I
have read and agree with the above terms and releases.
Sign above and scan and email this to: