Bali May 2019

Please be specific, we like to thank those that refer us!

Please list all relevant medical history. (Recent or past surgeries, medical condition, mental health, etc)

List name, number, and email address of who we should contact in case of an emergency.

It's a uni-sex tank top.

I am participating in One Love Travel Club’s Bali May 2019, and hereby release, waive, indemnify, defend, and hold harmless One Love Travel Club (DBA), EPL Enterprises LLC, agents and employees, from and against any and all claims, for bodily injury demands or causes of action of any type, including property damage or personal injury, damages, losses and expenses, including but not limited to attorneys’ fees, arising out of or in any way related to participation in this trip with which I will be involved. I am aware that there are possible risks and dangers associated with my participation. I assume full responsibility for any injuries or damages I may sustain as a result of my participation, including travel to or from the trip destination. In addition, I assume liability for and agree to indemnify and to hold EPL Enterprises LLC, DBA One Love Travel Club, partners and its employees harmless for all claims or damages caused, in whole or in part, by me and any negligent, intentional, or other act or omission on my part.