DT COVID-19 Waiver Form

DYNAMITE TRAVEL, LLC

COVID-19 Waiver Form

The World Health Organization has declared the novel Coronavirus (COVID-19) a worldwide global pandemic. Due to its capacity to transmit from person-to-person through respiratory droplets, the government has set recommendations, guidelines, and some prohibitions which Dynamite Travel, LLC. (the "Company") adheres to comply.

Dynamite Travel, LLC is not the source or supplier of the travel services you have requested, and acts solely as an agent for the actual suppliers of such services. You have been advised that the suppliers whose names appear in the information supplied to you are those who are actually responsible for providing the travel services that you have purchased. Your signature on this waiver confirms that you consent to and request the use of those suppliers and agree not to hold Dynamite Travel, LLC responsible should any of these suppliers: 1) fail to provide the travel services you have purchased; 2) fail to comply with any applicable law; or 3) engage in any negligent act or omission that causes me any sort of injury, damage, delay or inconvenience. Dynamite Travel, LLC highly recommends that you review the terms and conditions here.

I attest that:

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I am fully and personally responsible for my own safety and actions while and during my participation and I recognize that I may be at risk of contracting COVID-19.

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I further acknowledge that Dynamite Travel LLC has recommended preventative measures to reduce the spread of the Coronavirus/COVID-19.

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I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

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I voluntarily seek services provided by Dynamite Travel LLC and acknowledge that I am increasing my risk to exposure to the Coronavirus/COVID-19. I acknowledge that I must comply with all set procedures to reduce the spread while attending my appointment.

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I further acknowledge that Dynamite Travel LLC cannot guarantee that I will not become infected with the Coronavirus/Covid-19. I understand that the risk of becoming exposed to and/or infected by the Coronavirus/COVID-19 may result from the actions, omissions, or negligence of myself and others, including, but not limited to, travel, excursions, and other travel related activities.

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I have not traveled internationally within the last 14 days.

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I have not traveled to a highly impacted area within the United States of America in the last 14 days.

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I do not believe I have been exposed to someone with a suspected and/or confirmed case of the Coronavirus/COVID-19.

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I have not been diagnosed with Coronavirus/Covid-19 and not yet cleared as non contagious by state or local public health authorities.

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I am following all CDC recommended guidelines as much as possible and limiting my exposure to the Coronavirus/COVID-19.

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I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell.

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I am willing and capable to follow any and all requirements and restrictions that may be imposed by my vacation destination including but not limited to taking the necessary COVID related tests. I understand that if my reservation includes a property (hotel/resort/private home, condo, apartment, or villa) that is not offering onsite testing that I am responsible for securing my own test and any other COVID-19 related requirements and release Dynamite Travel from any responsibility and liability related to me adhering to the COVID requirements. I understand that adhering to the requirements may come at extra costs that I will be responsible for.

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I hereby release and agree to hold Dynamite Travel LLC harmless from, and waive on behalf of myself, my heirs, and any personal representatives any and all causes of action, lawsuits, claims, demands, damages, costs, expenses, and/or liabilities and compensation for damage or loss to myself and/or property that may be caused by any act, or failure to act of the Company, or that may otherwise arise in any way in connection with any services received from Dynamite Travel LLC. I understand that this release discharges Dynamite Travel LLC from any liability or claim that I, my heirs, or any personal representatives may have against the Company with respect to any bodily injury, illness, death, medical treatment, or property damage that may arise from, or in connection to, any services received from Dynamite Travel LLC. This liability waiver and release extends to the Company together with all owners, its board, officers, partners, vendors, employees, independent contractors, affiliates, representatives, and successors.

I have received the COVID Vaccination *

If you have received a COVID vaccination please state which vaccination you received (Pfizer, Moderna, Janssen, etc.) *

If you have been vaccinated, please upload a copy of your vaccination card/record.

I have recovered from COVID and have medical documentation/official proof of antibodies. *

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I acknowledge that my waiver form represents only myself.

By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

I understand and acknowledge that travel to many parts of the world may involve the risk of a variety of hazards to my health and/or safety, including but not limited to disease, crime, terrorism, and warfare. Because each traveler’s risk tolerance is different, Dynamite Travel, LLC is not in a position to advise me whether I should travel to any particular place at any particular time. Rather, to assist me in making an informed decision, I should refer to objective third-party sources of travel information, such as that maintained by the U.S. Department of State (travel.state.gov).

I understand and agree to abide by required safety measures in my vacation destination. This could include but is not limited to wearing a mask upon request, avoiding certain areas of restriction and proper sanitization as required. I am also aware that hotels and resorts are required to follow laws dictated by their government, not necessarily the one of my home country. As a result, my vacation experience may be slightly different during phases of transition and re-opening. I understand that my patience and understanding of new protocols for hotels and resorts will be required as they move through this unprecedented world situation.

This waiver will remain effective until laws and mandates relevant to COVID-19 are lifted.

E-Signature: * 🛈

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