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Home
Destinations
Ecuador Mainland
Galapagos
Cruises
Hotels
Packages
Colombia
Peru
Special Products
Golf
Weddings
Blog
Contact Us
GUEST INFORMATION FORM – MINOR INFORMATION
INSTRUCTIONS
In order to confirm your reservation, please provide the following details for each traveler:
First Name (as its shown in passport)
*
Last Name (as its shown in passport)
*
Email
*
Date of birth (MM/DD/YY)
*
Nationality
*
Passport number
*
Passport Expiration Date
*
Make sure your passport is valid at least 6 months after the final day of travel
Home address *
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Country
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Mobile and/or landline phone number
Emergency contact name and phone number
*
Any dietary restriction?
Please inform about any illness, allergies, physical/mental disability or health problem that might require special attention or treatment during your trip.
Blood type
INTERNATIONAL FLIGHTS INFORMATION *
ARRIVAL DATE
FLIGHT No.
ARRIVAL TIME
DEPARTURE DATE
FLIGHT No.
DEPARTURE TIME
Passport
*
Please include a copy of your passport
TRAVELER PARTICIPATION WAIVER – ADVENTURE & RECREATIONAL ACTIVITIES
For purposes of this Agreement the term “Adventure and Recreational Activities" shall include all activities, events, or services provided, arranged, organized, conducted, sponsored, or authorized by Link-Experiences SA and shall include but are not limited to participation in a travel itinerary, visit to tourist attractions, travel to remote areas without access to medical facilities or treatment, water sports, bike rides, boating on rivers, rafting, canyoning, tubing, clubbing, sport events or competitions, concerts, food intake, snorkeling, diving, zip-lining / canopying, hiking, canyoneering, caving, cycling, horseback riding and other equine related activities, mountain biking, rock/rope climbing, rappelling, scuba diving, travel in boats, trekking, surfing, travel to and from the tour areas; and other such activities, events and services in any way connected with or related to these activities. RELEASE OF LIABILITY, WAIVER OF CLAIMS, AND INDEMNITY AGREEMENT I hereby agree as follows: * I understand that Adventure and Recreational Activities included or not in my itinerary and referred to in this form involve inherent risks which may result in serious personal injury or death, and that I participate in these Adventure and Recreational Activities at my own risk, considering that I must be in good health and physical/mental condition (not under the influence of medicine, alcoholic beverages or illegal drugs or substances). It is solely my responsibility to decide if my participation, in the itinerary, is safe. * I understand that I shall have or obtain for me and my companions, a travel insurance or any other type of insurance, if I consider necessary, and that Link-Experiences SA, or its subcontractors or agents, does not has the obligation to provide any type of insurance in the travel itinerary offered. * I understand that all the Adventure and Recreational Activities included or not in the travel itinerary (and that could be booked directly by me or other Clients) are/or could be provided by third-party suppliers (subcontractor or agents) and that Link-Experiences S.A. is not responsible for any circumstances in which a liability, loss, expense, injury, harm or damage, including death, could be inflicted or caused into the client. * To waive any and all claims that I may have in the future against Link-Experiences SA. its subcontractors or agents, and to release Link-Experiences SA. its subcontractors or agents, from any and all liability for any loss, damage, expense or injury including death that I may suffer, or my next of kin or companions may suffer, resulting from either my participation in Adventure and Recreational Activities due to any cause whatsoever, including negligence, breach of contract, or breach of any statutory or other duty of care on the part of Link-Experiences SA., and also including the failure on the part of Link-Experiences SA., its subcontractors or agents, to safeguard or protect me from the risks dangers and hazards of Adventure and Recreational Activities, referred above. * To hold harmless and indemnify Link-Experiences SA., its subcontractors or agents, from any and all liability for damage to property or personal injury to any third party resulting from my participation in the Adventure and Recreational Activities. * That this agreement shall be effective and binding upon my heirs, next of kin, companions, executors, administrators, assigns and representatives, in the event of my death or incapacity. * That this agreement and any rights, duties, and obligations as between the parties to this agreement shall be governed by and interpreted solely in accordance with the laws of Ecuador and no other jurisdiction. * That any claim in relation to this waiver shall be brought solely within Ecuador and shall be within the exclusive jurisdiction of the courts of Ecuador. I confirm that I have read and understand this waiver prior to accepting it, and I am aware that by accepting this document I am waiving certain legal rights which I or my heirs, next of kin, companions, executors, administrators, assigns and representatives may have against Link-Experiences SA, its subcontractors or agents. In case of the involvement of minority age in any Adventure and Recreational Activities, I hereby certify that I as (parent and/or guardian) with legal responsibility of his/her/them safety, I do consent and agree to his/her/them release of any liability and obligation to Link-Experiences SA., its subcontractors or agents and I agree to indemnify and hold harmless Link-Experiences SA., its subcontractors or agents, for any and all liabilities and/or incident due to his/her/them involvement in Adventure and Recreational Activities. In addition to the specific terms and conditions herein, Link-Experiences S.A makes available again, to travelers all specific terms and conditions at //www.linkexperiences.com/index.php/terms-conditions/, which has been read and approved by all travelers. Any reservation made with Link-Experiences SA., is an acceptance of the mentioned terms and conditions.
Legal guardian
I agree and accept all the terms and conditions of this waiver
I have read and accept the Traveler Participation Waiver
I have read and accept the Traveler Participation Waiver on behalf of the minor
Verification
Please enter any two digits
*
Example: 12
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