This is a binding agreement. Please read carefully through the items below. If you are under 21 years of age, your parent or guardian must check this box.

By clicking the box below, I acknowledge that I have read through and agree with the expedition fees and $300 deposit, timelines and cancellation policy as listed on the FH website. I understand that expeditions in developing nations can be physically and mentally challenging. If over 60 years of age, pregnant, or suffering from medical conditions such as heart disease, lung disease, diabetes, etc., I will provide a signed note from my doctor attesting to my state of health.

I acknowledge that I am responsible for airfare and arranging my flight to the designated country, as well as any other travel fees (passport, taxes, excess baggage, immunizations, evacuation insurance, meals outside of the village or any personal travel outside of the parameters of the expedition, phone calls, laundry, gratuities/tips and so forth). I also understand that FH will be responsible for hotel accommodations for one (1) or two (2) nights (depending on itinerary) as well as meals and lodging in the village, transportation to and from the village as well as local travel while there. Additionally, FH will be responsible for any fees associated with guides and all project costs (including materials). I understand that hotel accommodations are based on double occupancy and that cases of single occupancy may result in an additional fee.

I agree to provide the following documentation as required for the expedition: FH Release & Waiver form, Medical permission if required, information regarding medical evacuation insurance, flight itinerary information and a copy of the first page of my passport. Because my passport must be valid for at least six (6) months beyond my return date from the country, if necessary, I will renew my passport prior to the expedition.

I understand that I am responsible for the personal safety of my belongings during the expedition and that FH will do everything within its power to ensure my personal safety during that time. I realize that conditions in developing nations may require some flexibility and patience and that living conditions can be rustic.

By agreeing to this Release and Waiver, I hereby acknowledge that I am 18 years or older or will be accompanied by a parent or guardian.

By agreeing to this Release and Waiver, I also hereby unconditionally, knowingly and voluntarily agree, on behalf of myself and my heirs, executors or personal representatives, and insurers, to the following terms, conditions and policies:

• I release, hold harmless, and forever discharge Family Humanitarian, its executive committee, steering committee, employees, directors, officers, board members, agents, expedition leaders, and all others affiliated with Family Humanitarian from all claims, causes of action, lawsuits, demands, damages, costs, fees, personal injuries, death and other expenses of any kind or nature, foreseen or unforeseen, which may arise directly or indirectly from my participation in the Expedition, unless caused by gross negligence of Family Humanitarian. This release includes, without limitation, all rights or claims of any kind whatsoever arising under any applicable state or federal law, foreign law, international law, or any common law cause of action, including any claims for attorneys’ fees or other costs.

• I waive and agree to not file or otherwise initiate, or cause to be filed or initiated, against Family Humanitarian any claim, cause of action, lawsuit, or proceeding of any kind whatsoever, or participate in the same individually or as a class, which pertains in any manner to my participation in the Expedition.

• I understand that I am solely responsible for my health before, during and after the Expedition. I understand that I am responsible for consulting with my personal physician prior to the Expedition to ensure that I am healthy and physically capable of participating in the Expedition. I understand that I should also consult with my physician and/or International Travel Office regarding required immunizations and that I should receive required immunizations prior to the Expedition.

• I understand that accidents, injuries, illnesses or other harmful occurrence may occur in the course of travel to and from and participation in the Expedition and I agree to assume any and all risks associated with the same. I understand that Family Humanitarian is not responsible for payment of any costs, fees or expenses that may arise as a result of an accident, injury, illness or other harmful occurrence in the course of travel to and from and participation in the Expedition. I understand that Family Humanitarian cannot guarantee adequate treatment, supplies or transportation will be available. If treatment or other care or services are provided, Family Humanitarian providing treatment and care do so as “Good Samaritans” and with the expectation that they have no legal or other liability as a result of providing such gratuitous services.

• I understand that I am solely responsible for obtaining adequate health, life, disability, and casualty insurance coverage, including evacuation insurance, covering my travel to and from and participation in the Expedition. I am also solely responsible for securing any other necessary financial arrangements to provide for any and all costs, fees, damages or other expenses which may arise as a result of my participation in the Expedition. I understand that Family Humanitarian is not responsible for any costs, expenses, fees, or damage to personal property incurred in the course of travelling to or from or participating in the Expedition, including but not limited to loss of baggage, delays, or unexpected cancellations.

• I understand that safety is always a concern when traveling and staying in foreign countries, including third world countries. I have read and understand the applicable travel warnings and Consular Information Sheet published by the U.S. Department of State and available at http://travel.state.gov and/or at other U.S. governmental websites. I hereby assume any and all risks associated with travel to and through foreign countries, including but not limited to accidents, delays, cancellations, acts of terrorism, violence and crimes resulting in damage to or loss of property, severe bodily harm or even death.

• I understand that if I elect to travel before or after the Expedition, I hereby assume any and all risks associated with that travel, including but not limited to accidents, delays, cancellations, acts of terrorism, violence and crimes resulting in damage to or loss of property, severe bodily harm or even death.

• I understand that Family Humanitarian must receive this Release and Waiver before I will be permitted to participate in the Expedition.

• I acknowledge that I have had an opportunity to consult with legal counsel prior to agreeing to this Release and Waiver.