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Huachuma Journeys Itinerary
el mundo magico
Liability Release for
Huachuma Journeys with Don Pedro Leon:
By joining a trip facilitated by El
Mundo Magico all participants are bound by the terms and conditions of the
present waiver of liability.
Each journey participant is required
to fill in all the relevant entries, sign and return us by postal services the
present form (please use block letters). Computer-generated forms are fine, as
long as the same layout is respected.
Please print and
fill-in the form below.
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You must send
us a photocopy of your valid passport - the pages with your full name,
signature, passport number and country of issue - along with your
printed waiver form.
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Please return - by
"signed for"/registered mail service - the completed, printed form below to:
El Mundo Magico
Flat 5, 8 Queen's Road, Lexden, Colchester
CO3 3NP, Essex,
United Kingdom
Tel/Fax: 01206 710 615
(from the UK)
- Tel/Fax: + 44- 1206 710 615
(from Abroad)
Email:
info@elmundomagico.org
El Mundo Magico - Registered in
England,
21 September 2000,
N. 4076005
-------------------------------------------------------------------------------------------------
Waiver of all liabilities
Strictly, advance booking only. All fees are non-refundable
in case of cancellation on your part.
El
Mundo Magico
Ltd (Registered in
England
21 September 2000,
N.
4076005),
reserves the right to accept or kindly decline the application of a journey
participant at any time, to make changes in the itinerary whenever reputed
necessary for the comfort, convenience and safety to all participants, and to
cancel the journey at any time. In the event that a journey is cancelled by us, El Mundo
Magico Ltd shall have no responsibility beyond the refund of
money paid by the trip participant.
By registering the
trip participant agrees that El Mundo Magico Ltd shall not be liable for any delay,
change in schedule
- including - but not limited to - delays, rescheduling and/or cancellations of flights whether operated by
international and/or domestic airlines (for which relevant insurance cover
must be arranged before the trip and relevant claim forwarded to your insurance
company),
loss, damage, or injury to property or persons including death, or expenses
occasioned by any act or omission by any supplier providing services to any
program participant.
All scheduled
airline flights are occasionally subject to overbooking and/or cancellations,
and El Mundo Magico Ltd shall have
no responsibility whatsoever for any additional expense, omission, delay, reconfirmation or
re-routing that may occur in such a circumstance.
Without limitation El Mundo Magico Ltd is not liable for any direct, indirect,
consequential, or incidental damage, injury, loss, accident, delay or
irregularity of any kind which may be occasioned by reason of any act or
omission beyond its control, including, without limitation any wilful or
negligent act or failure to act or breach of contract of any third party such
as a airline, train, local ground transportation, or other which is or does
supply any goods or services for the trip.
You also agree that El Mundo Magico
Ltd shall not be
liable for any loss, injury, or damage to person, property or
otherwise in connection with any accommodations, transportation or other
services resulting directly or indirectly from
causes
of force majeure, including but not limited to dangers incident to water,
air or earth, fire, breakdown in machinery or equipment, acts of governments or
other authorities, dejure or de facto, strikes, riots, criminal activity, thefts, pilferage,
epidemics, quarantines, medical or customs regulations.
Force majeure is
unusual and unforeseeable circumstances beyond our control, the consequences of
which neither we nor our suppliers or associates could avoid, even with the exercise of all
due care, further examples of which are war or threat of war
(whether declared or
not), hostilities, civil disturbances,
civil strife, terrorist activity, industrial disputes, natural or nuclear
disaster, adverse weather conditions, level of water in rivers or other similar
events beyond our control and defaults,
delays, or cancellations of - or changes in - itinerary, routing or schedules
from any cause beyond the control of El Mundo Magico Ltd; or any loss or damage
resulting from insufficient or improperly issued passports, visas or other
documents.
The participant, or any family members, will hold harmless El Mundo Magico Ltd
for any physical, mental, emotional, or other reaction, death, trauma, or
ailment occurring during the retreat or afterwards.
You must be in
a physical and mental condition appropriate to the activities in the programme. You must acknowledge all the
physical and mental risks involved and agree to participate at your own risk. You understand that
- in your own interest - you must have a
suitable medical and travel insurance arranged before the journey begins.
This insurance must cover personal accident, medical expenses, loss of effects,
repatriation costs and all other expenses which might arise as a result of loss,
damage, injury, delay or inconvenience.
All bookings are done under
the assumption that you are willing to sign such an agreement. Any second
thoughts and subsequent refusal to sign such an agreement will be treated as a
cancellation of your trip.
It is not possible to exchange fees
paid for the Huachuma Journey with any other programme we offer.
I,
…………………………………………………………..(print name)
have read the terms and conditions of participating to this trip facilitated by El Mundo
Magico, with Don Pedro Leon. I am also fully aware that this journey involves deep cleansing
through the use of cleansing and power plants. I understand that the
intake of these plants may cause emotional as well as physical reactions, and
that spiritual, emotional and physical break-throughs, may take place as part of
the healing process. I acknowledge all the above and I am willing to accept this
as part of agreeing to partake in this trip.
I agree that any photos, video tape, or notes
taken during the journey may be published, or else used for
advertisement, and hereby give my consent, without consideration, unless prior
written agreements are arranged.
I fully agree to abide by these
conditions as written.
First
Name(s):
.....................................................................................
Family Name(s):
.....................................................................................
Title (e.g. Dr, Mr, Miss, Mrs, Ms):
.....................................................................................
Date and place of birth:
.....................................................................................
Nationality:
.....................................................................................
Age:
.....................................................................................
Occupation:
.....................................................................................
Tel:
.....................................................................................
Fax:
.....................................................................................
Email:
.....................................................................................
Home Address:
.....................................................................................
City:
.....................................................................................
Postal Code/ZIP:
.....................................................................................
State/Country:
.....................................................................................
Are you presently on
any long term medication?:
No:...................................Yes:.......................................
If
yes, name
of medication, and for what condition:
.....................................................................................
Physical or Medical Limitations?:
.....................................................................................
Allergies to insect bites/stings:
.....................................................................................
Known
drug allergies:
.....................................................................................
Contact in case of emergency
Name:
.....................................................................................
Tel:
.....................................................................................
Fax:
.....................................................................................
Email:
.....................................................................................
Your Passport Number and
Country of issue:
.....................................................................................
Your Name as it appears
on the Passport:
.....................................................................................
I
attest that all the information is true and provided voluntarily.
Signed:
.....................................................................................
Date:
.....................................................................................

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