You are on page 1of 2

WAIVER AND RELEASE FORM

As a participant on IExplore Travel & Tours ____________________________ Trip, I realized that


inherent dangers exist. While in Good health and able to fully participate in such activities, I realize
my participation may result in illness or injury due to accidents, the forces of nature or other causes
unforeseen. Such illness or injury may include disease, strains, sprains, fractures, dislocations,
paralysis and/or death. By participating, I hereby and knowingly assume all risk resulting from these
activities.
On behalf of myself, my family or other personal representatives I hereby agree to release, hold
harmless and indemnify the IExplore Travel & Tours, its agents, officers and wilderness leaders from
any and all claims and law suits for bodily injury, property damage, wrongful death loss of service etc.
which may result from my participation in the above mentioned activities, regardless of whether or not
these claims or suits arise from negligent acts, omission by the IExplore Travel & Tours organizers,
leaders or facilitators of the activity, employees or volunteers, another participant, any other person
involved or from any other cause.
I HAVE READ THE ABOVE WAIVER AND RELEASE, I UNDERSTAND THAT I HAVE
RELINQUISHED SUBSTANTIAL RIGHTS BY SIGNING IT AND DO SO VOLUNTARILY.
PRINTED NAME
kristine Jessel Cabigas

SIGNATURE

DATE

Mary Ann Munar

6/25/2016
6/25/2016

Libnos Pascua

6/25/2016

Girlie Mazon

6/25/2016

Argelyn Mazon

6/25/2016

Brian Olivo

6/25/2016

Grace Panlaqui

6/25/2016

Kyrie Cabrera

6/25/2016

Andrew Lance Tabuco

6/25/2016

Julie Cabra

6/25/2016

Lanie Maprangala

6/25/2016

Page 1 of 1

WAIVER AND RELEASE FORM


As a participant on IExplore Travel & Tours ____________________________ Trip, I realized that
inherent dangers exist. While in Good health and able to fully participate in such activities, I realize
my participation may result in illness or injury due to accidents, the forces of nature or other causes
unforeseen. Such illness or injury may include disease, strains, sprains, fractures, dislocations,
paralysis and/or death. By participating, I hereby and knowingly assume all risk resulting from these
activities.
On behalf of myself, my family or other personal representatives I hereby agree to release, hold
harmless and indemnify the IExplore Travel & Tours, its agents, officers and wilderness leaders from
any and all claims and law suits for bodily injury, property damage, wrongful death loss of service etc.
which may result from my participation in the above mentioned activities, regardless of whether or not
these claims or suits arise from negligent acts, omission by the IExplore Travel & Tours organizers,
leaders or facilitators of the activity, employees or volunteers, another participant, any other person
involved or from any other cause.
I HAVE READ THE ABOVE WAIVER AND RELEASE, I UNDERSTAND THAT I HAVE
RELINQUISHED SUBSTANTIAL RIGHTS BY SIGNING IT AND DO SO VOLUNTARILY.
PRINTED NAME

SIGNATURE

DATE

Alfredo Gumansing III

6/25/2016

Lorielyn Jalojot

6/25/2016

Scyla Gacis

6/25/2016

Vance Lopez

6/25/2016

Ronaldo Rocio

6/25/2016

Sam Edward Geronimo

6/25/2016

Gerald Dimapilis

6/25/2016

Angela Santos

6/25/2016

Marion Pagdilao

6/25/2016

Mark Nuena

6/25/2016

John Rei Enriquez

6/25/2016

Kenji Samson

6/25/2016

Marie Jojina Serrano

6/25/2016

Rica Honey Grace Lopez

6/25/2016

Niel Mikhel Jamilano

6/25/2016

Ronn Erwin Castro

6/25/2016

Page 1 of 1

You might also like