Travel liability waiver

Assumption of Risk Waiver

Safari Travel

This waiver must be signed and returned the same day deposit/payment is made. If you are 

booking within 45 days of departure, signed waiver must be returned the same day 

booking and final payment are made. A SIGNED FORM IS REQUIRED FOR EACH ADULT 

PARTICIPANT IN ORDER TO TRAVEL.

THIS IS A RELEASE OF LIABILITY. This Waiver is entered into between the Participants on 

the reservation (“I”, “You”) and The Company from which you purchased your vacation 

tour or cruise (“The Company”). In all cases, the person signing this waiver warrants that 

he/she has consented to, accepted, and agreed to be bound by all clauses below.

ASSUMPTION OF RISK

1. I acknowledge that I am fully aware of and appreciate the real dangers and risks while 

on safari arising from the presence of wild and dangerous animals, including but not 

limited to:

a. mammals, reptiles, birds, and insects 

b. and the real risk of suffering bodily harm, injury, death and/or damage to 

or loss of property

that may arise as a result of an encounter with and/or the presence of such animals 

while on my trip. 

2. I acknowledge that my trip will include encounters with wild animals and I further 

understand and acknowledge that the behavior of wild animals cannot be predicted 

or controlled.

3. I am aware of the risks of safari travel that includes encounters with wild and 

dangerous animals, including risks associated with my safety. 

4. I am aware that medical facilities while traveling may not be of the quality of medical 

facilities I experience at home and access to evacuation and/or suitable medical 

supplies and support may not be as readily available as I am accustomed to.

5. I am aware that no one can guarantee my safety while traveling and I acknowledge I 

have been strongly advised to have comprehensive health and accident insurance 

(including “travel insurance”), which provides coverage for illnesses or injuries I 

sustain or experience while traveling including pandemic/epidemic/infectious disease 

coverage, cancellation / curtailment coverage, medical evacuation, repatriation of 

remains, and life insurance. 

6. I am voluntarily participating in this tour/cruise with knowledge of the inherent risks 

of travel and with travel that includes encounters with wild and dangerous animals, 

and I agree to assume all risks, including but not limited to those listed in this release 

of liability, whether those risks are known or unknown. I am aware that payment of 

deposit on the reservation indicates acknowledgement and acceptance of these risks.

7. I am voluntarily participating in this trip, and I have voluntarily purchased this trip 

from The Company with the full understanding of these risks. I hereby assume and 

agree to accept any and all risks to my safety and security during the course of my 

trip, and I hereby release The Company and the Releasees from any claims that may 

arise during the course of my participation in the trip.

This Waiver shall be binding on myself, my family, my heirs, and any attorney, agent, 

executor, trustee, representative or assignee. I hereby indemnify and hold harmless The 

Company and the Releasees for any Claims against The Company or the Releasees by any 

member of my family, my heirs or assigns, my estate, my employer or by any other 

person for whom or to whom I am or may be responsible, whether at law or otherwise. 

GUEST: PARENT (GUARDIAN) if Traveler is under 18:

Signature Signature

_________________________________ ____________________________________

Please Print Name

_________________________________ ____________________________________

Date Date

_________________________________ ____________________________________

Please mail this information to kokomere Adventure Safaris, 130 high Hill Lane, Washington Virginia 22747 or 

Email to:

kokomeretravel@gmail.com