PROOF OF INSURANCE COVERAGE, PROOF OF VALID PASSPORT, TRAVEL RELEASE FORM
Forward copies of proof of insurance, proof of valid passport, completed and signed travel release form to Dr. Doris Gomez no later than July 1, 2011.
Regent University
School of Global Leadership & Entrepreneurship
Attn: Dr. Doris Gomez
1333 Regent University Drive, Ste. 102
Virginia Beach, VA 23464
Fax: (757) 352-4634
email: dorigom@regent.edu
I am responsible for securing medical emergency coverage for the period of this trip through On Call International.
Your coverage needs to begin no later than the date of your initial departure to Panama and must remain in effect for the duration of the trip. Please forward a copy of your insurance arrangements to Dr. Doris Gomez (see above). We will only accept coverage through On Call International.
Proof of Valid Passport & Travel Visa
I understand that a VALID PASSPORT IS REQUIRED FOR THIS TRIP and that it must be valid for least 6 months beyond initial entry into Panama. I am forwarding a copy of my passport to Dr. Doris Gomez (see above contact information). It is also recommended that you carry a copy of your passport with you on the trip.
I understand that while there is no visa requirement for tourism for most countries, I am required to purchase a $5.00 tourist card when entering Panama. I have checked Panama's official tourism travel site for the most accurate visa information and will make sure that all my papers are in order.
Travel Release Form
I have reviewed and completed the Regent University Travel Release Form and will forward a copy of the completed form to Dr. Doris Gomez by July 1, 2011.
Minimum Number of Participants
I understand that unless a minimum of 10 registrations have been received by the registration & payment deadline of July 7, 2011, the trip will be cancelled and a full refund will be issued to me. The refund will not apply to the travel insurance through On Call International.
Health Advisory & Special Accommodations
I understand that this program can be rigorous, and some of the events may require demanding physical activities; therefore, participants should possess the ability to:
- Walk one mile without rest
- Stand for 30 minutes without sitting
- Climb three flights of stairs without assistance
- Hear group instructions
- Read and understand written instructions and signs
- Step in and out of busses or shuttles
Regent University may be unable to provide special accommodations for people with disabilities. If someone needs accommodation or assistance, that person must bring a companion/assistant at full price. Also, those who have a health or mental condition that may interfere with participation in program activities, need to consult with their physician to determine if they are able to participate in a physically demanding study abroad program. If a potential participant has any questions, they should contact Carolyn Hughes at 757-352-4867 or by email at chughes@regent.edu.
Regent University and the School of Global Leadership & Entrepreneurship do not assume liability for injury, damage, loss, accident, delay, or irregularity which may be occasioned by reason or defect, through the acts or defaults or any company or person engaged in conveying the participants of this tour or in carrying out the arrangements of the tour, or as direct or indirect results of acts of nature, breakdowns in machinery or equipment, acts of governments or other authorities, de jure or de facto, wars, whether declared or not; hostilities, civil disturbances, strikes, riots, theft, pilferage, epidemics, quarantines, medical or customs regulations, loss or damage resulting from improper passports, visas, or other documents or from any causes beyond the control of the University. The University can accept no responsibility for loss or additional expenses due to delay or changes in schedule or other causes. We have the right to refuse to accept or retain any tour participant should such person's health or general deportment impede the operation of the tour to the detriment of other participants. All rates are based on tariffs in effect at the time the tour was planned and are subject to change in the event of adjustments therein. Baggage is carried at the owner's risk and baggage insurance is recommended. The issuance of tickets and vouchers will be deemed to be consent to the above conditions.
Cancellations & Refund Policies
- 100% refund of deposit or full payment if cancelled on or before July 7, 2011
- No refunds after the registration and payment deadline of July 7, 2011.
- Email Dr. Doris Gomez with any cancellation requests at dorigom@regent.edu
The participant's signature below (type your name) and participation in this trip constitute acceptance of this provision and agreement by such participant that Regent University nor the School of Global Leadership & Entrepreneurship shall be liable or responsible in any way whatsoever for any inconvenience, loss, damage, or injury arising out of or in connection with such tour services. By typing my name below, I acknowledge that I have read and fully understand the conditions and responsibility area of the enrollment application and verify the information I have provided as truthful and correct.
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