Liability Waiver and Risk Acknowledgment

Dear Nam Et-Phou Louey visitors,

Please note that before the tour start in Nam Et-Phou Louey National Protected Area, you will be required to sign the “Liability Waiver and Risk Acknowledgment” form as below.

Thank you for your comprehension.

Best regards,

NEPL NPA Ecotourism team

 

 

LIABILITY WAIVER AND RISK ACKNOWLEDGMENT

PLEASE READ AND SIGN BEFORE YOUR TOUR

In Nam Et-Phou Louey National Protected Area

 

I am _____________________________________ (Name/Family name), Citizenship and Passport/ID number:__________________

 

I certify that I am at least 18 years of age.

I recognize that participation in any tour in NamEt-PhouLouey National Protected Area (NEPL NPA) (“Tour”) involves travel by road and boat, hiking, forest lodging and other outdoor activities in remote areas that may cause risks of personal injury, illness, death and/or property loss or damage. I understand that medical care and other facilities in Houaphanh Province are limited.

 

The NEPL NPA and supporting NGO, Wildlife Conservation Society do not provide health and accident insurance for Tour participants, and I take full responsibility for any medical expenses, evacuation, repatriation, property loss or damage, or other personal expenditures that may result from or in connection with the Tour.

I voluntarily assume all risks, known and unknown, associated with my participation in the Tour and take full responsibility for any personal injury, illness, including death, and any loss of or damage to my property from any cause whatsoever, including those which may result from the negligence of other participants, volunteers, staff or others.

I certify that I am physically fit for participation in the Tour, and have not been advised not to participate by a qualified medical professional.

In consideration for my participation in the Tour, I HEREBY VOLUNTARILY AND FOREVER RELEASE, DISCHARGE AND HOLD HARMLESS NEPL NPA, THE GOVERNMENT OF LAO PDR, WCS AND ANY OF THEIR TRUSTEES, OFFICERS, AGENTS, SERVANTS AND EMPLOYEES (“RELEASED PARTIES”) OF AND FROM, ANY AND ALL LIABILITIES, CLAIMS, ACTIONS, CAUSES OF ACTION AND DEMANDS OF ANY KIND, WHETHER IN TORT, CONTRACT OR OTHERWISE, JUDGMENTS, LEGAL FEES AND OTHER EXPENSES (COLLECTIVELY “CLAIMS”) THAT I MAY HAVE NOW OR THAT MAY ACCRUE IN THE FUTURE ON ACCOUNT OF ANY PERSONAL INJURY (INCLUDING ILLNESS OR DEATH) OR LOSS OR DAMAGE TO PROPERTY, REGARDLESS OF THE CAUSE THEREOF (INCLUDING AS A RESULT OF NEGLIGENCE OF THE RELEASED PARTIES) ARISING OUT OF, OR IN CONNECTION WITH MY PARTICPATION IN THE TOUR. I WILL NOT INSTITUTE ANY ACTION IN ANY FORUM IN ANY COUNTRY SEEKING TO HOLD THE RELEASED PARTIES RESPONSIBLE FOR ANY SUCH CLAIMS. I AGREE TO INDEMNIFY AND HOLD HARMLESS THE RELEASED PARTIES FROM ANY AND ALL THIRD PARTY CLAIMS ARISING OUT OF OR IN CONNECTION WITH MY PARTICIPATION IN THE TOUR.

This Waiver shall be binding upon my heirs, next of kin, executors, administrators, assigns and anyone acting on my behalf.

I CERTIFY THAT I HAVE READ THIS WAIVER AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT OF MY OWN FREE WILL

In addition, for California residents:
I expressly waive all rights under Section 1542 of the Civil Code of California, which reads as follows: A general release does not extend to claims which the creditor does not know or suspect to exist in his favor at the time of executing the release, which if known by him must have materially affected his settlement with the debtor.

 

If anyone under 18 is accompanying me on the Tour, I execute this Waiver on their behalf as their parent or legal guardian. Such minors are named below.

For Minor(s) Please include Name/age/ citizenship/relationship to signatory: __________________________________________

 

 

Signature of Visitor ____________________________________           Date: ______________________________

 

 

Emergency Contact Information:

 

Person(s) traveling with you: ______________________________________________

 

In Laos: _______________________________Phone: _________________________

 

International: ________________________Phone: ___________________________