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Assumption Of Risk document for Man Expeditions Events 

In consideration of the services of Man Expeditions (a M21 Media Inc. Company), their agents, owners, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as Man Expeditions ), I herby agree to release, indemnify, and discharge Man Expeditions, on behalf of myself, my heirs assigns, personal representative and estate as follows:

I acknowledge that travel entails known and unanticipated risks which could result in injury or damage to myself, to the property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.

I expressly agree and promise to accept and assume all the risks existing in this activity. My participation in this activity is purely voluntary, and I elect to participate in spite of the risks.  

I herby voluntarily release, forever discharge, and agree to indemnify and hold harmless Man Expeditions from any and all claims, demands, or causes of action, which are in any way connected with my participation in this activity or my use of Man Expeditions equipment or facilities, including any such claims which allege negligent acts or omissions of Man Expeditions.

Should Man Expeditions or anyone acting on their behalf, be required to incur attorneys’ fees and costs to enforce this agreement, I agree to indemnify and hold them harmless for all such fees and costs.


I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating or else I agree to bear the costs of such injury or damage to myself. I further certify that I have no medical or physical conditions, which could interfere with my safety in this activity, or else I am willing to assume – and bear the costs of all risks that may be created, directly or indirectly, by any such condition.

I agree and accept the full terms and conditions as published on the Man Expeditions website: http://www.manexpeditions.greenrope.com/booking-terms/

I FURTHER AGREE that any controversy or claim arising out of or relating to my participation in a Man Expeditions event and/or this Agreement, or the making, performance or interpretation thereof, shall be settled under the laws of the Province of Ontario, Canada, without reference to its conflicts of laws rules.  I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. 


First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Participation Terms
I understand that Man Expeditions exists purely to help raise awareness and funds for important wildlife conservation & environmental projects through community based group travel. 100% of the proceeds from all listed trips go towards supporting the @URhinoProject to fund rhino rescue operations in Africa. URhino is managed by the Upmost Foundation Nonprofit. *
Yes
No
I accept the pricing of this trip/event I booked through Man Expeditions and I understand that the pricing also factors in admin staffing costs, planning and vetting vendors during the pre-event planning phase in addition to the actual hard costs.*
Yes
No
I am aware Man Expeditions has to undergo time-consuming admin related tasks well in advance of my trip start date in order to plan my group trip and I understand Man Expeditions has to send payments to multiple travel vendors/partners  (i.e. property owners, hotels, tours operators, transfer services, flights etc.) 6 months in advance to secure availability for my group trip hence the reason for the strict no refund policy.*
Yes
No
I am aware Man Expeditions runs group orientated trips which have fixed costs. This means the person price will be higher for smaller groups and lower for larger groups. I am aware that the per-person cost based on the group size is outlined on all the trip pages on the website.*
Yes
No
I am aware that if the minimum group size is not reached my trip may be canceled or postponed. If Man Ex cancels or postpones my trip I will be given the option to be refunded or to join another travel group at no additional cost.*
Yes
No
It is my responsibility to ensure I have sufficient travel insurance to cover ( but not limited to) personal injury, medical expenses, and event cancellation.*
Yes
No
I understand unforeseen weather conditions may cause an event to be delayed, rescheduled or cancelled due to safety reason. I accept this risk understanding no refunds will be issued in the rare event weather makes participation unsafe.*
Yes
No
I understand Man Expeditions has a strict no refund policy even in the event I may have to cancel for any reason....but I am able to transfer my booking to a friend or another Man Expeditions member up until 10 days prior to my event/trip start date. *
Yes
No
I understand the Man Expeditions booking terms and stipulations above. It's with this understanding that I agree to waive my right to dispute any payment I make for a ticket to join a trip/event after I have confirmed and paid for my ticket. I understand the dispute process can cause a significant delay (1-3 months) until it's reconciled, and I understand this delay would be damaging to the Man Expeditions operations and my fellow travel mates as Man Expeditions would have to immediately cease all trip planning for my travel group until the dispute is resolved. Delays like this could result in the team at Man Expeditions not being able to complete the planning for my fellow travel mates so I understand why there is a strict no refund policy and I understand why I need to waive my right to file a dispute after I have paid and confirmed my booking....so I therefore re-confirm that I agree to waive my right to file a dispute after I have confirmed my booking. *
Yes
No
I understand it is my responsibility to check with my doctor I am healthy enough to participate in the event I have booked.*
Yes
No
I understand the ethos behind Man Expeditions events which focuses on teamwork, accepting each other's strengths and weaknesses and supporting one another.*
Yes
No
I have read the event description published on the Man Expeditions website and understand exactly what I have signed up for.*
Yes
No

If other, please list your food allergies here.
Emergency Contact

Name

Contact Email/Number
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Please check all medical conditions you have
Asthma
Allergies
Diabetes
High Blood Pressure
Low Blood Pressure
History of heart problems
Seizures
Depression, Anxiety Disorder, Bipolar or any other mental health concerns

Are there any medications, other medical information, or dietary restrictions we should know about? If so, please explain:

Describe your current physical fitness and level of activity *
List any food allergies
None
Gluten
Lactose
Other
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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