I , the undersigned, acknowledge and hereby agree that Quasar Expeditions and its agents have advised me that participating on a Galapagos cruise with a handicap or disability can be dangerous and that there are special hazards and risks inherent to all who take part in any such tour. In part, this is because the tour is conducted onboard and from an ocean going vessel and because there is inherent danger and risk in participating in such a tour due in part, but not limited to, travel by yacht on the open seas, exposure to the elements (in particular water and sun) and natural conditions and participation in the activities offered during the tour including hiking, snorkeling, swimming, sea kayaking, caving and wildlife viewing.

I understand, and in signing, hereby agree and fully acknowledge that Quasar Expeditions shall not provide (unless specifically requested) any personnel at any time during the tour for my care and responsibility. I, the undersigned hereby state and agree that I am solely responsible for my safety and welfare at all times during the tour and assume all responsibility concerning any illness, sickness, injury, accident and/or casualty that may afflict me now and forever and especially during the said tour; provided, however, that such illness, sickness, injury, accident and/or casualty is not the result of the intentional misconduct or negligence of Quasar Expeditions, its employees or contractors. I also understand, accept and hereby agree that all statements made in Quasar Expeditions’ policy statements, particularly its policy concerning Release of Liability & Assumption of Risk, are hereby legally binding upon myself.

In concern of my safety, I the undersigned hereby agree to perform all of the following without exception during the entire trip in Galapagos and Ecuador:

• Adhere to all safety instructions given during the tour by guides and crew members.
• Always insure to keep a safe distance from all animals at all times, during both land visits and outings, adhering strictly to the instructions of the guide.

By signing below I hereby declare that the information I have provided herein is complete and accurate. I understand that the information on this form may be released to and shared with appropriate medical personnel in case of a medical emergency. I have received and carefully read Quasar Expeditions’ Policies for the year in which my trip will take place as well as this form in its entirety and acknowledge that I understand and accept the terms and conditions in both documents and agree to abide by them.