Travel Insurance Wavier
Travel Insurance is highly recommend and a vital part of your travel arrangements.  Insurance protects you, your trip and your travel investment. Travel suppliers, airline carriers, or travel agencies do not compensate any of your unforeseen expenses in the event of cancellation or failure to make your trip (missed flights, cruises, etc.), lost baggage, loss of health, death and/or accidents or emergency evacuation due to illness, natural disasters or acts of terrorism.

However, ​I am refusing travel insurance for my trip.

The risks for declining coverage have been explained to me by my Travel Agent. I understand that declining travel insurance mean I will lose all benefits of coverage and I fully accept that risk.

I am aware that my own medical insurance may not cover me outside of the United States.

**Lost luggage
**Missed connections or train delays
**Emergency air lift assistance
**Emergency medical and/or dental assistance
**Emergencies at home affecting me and/or my immediate family (children, grandchildren, aunts, uncles,
   brothers, sisters, nephews, nieces)
**Death of myself and/or my immediate family (children, grandchildren, aunts, uncles, brothers, sisters, nephews,
**Supplier default and/or bankruptcy
**Any other covered circumstances as outlined in the offered travel insurance policy

I understand that I may lose up to 100% of the cost of my cruise/vacation package/travel arrangements, plus any cancellation fees from Chappell Cruises and Travel, Inc. and/or other suppliers, if my trip is cancelled or delayed.

I hereby release Chappell Cruises and Travel, Inc., its administration, personnel, and my Travel Agentr from responsibility for any consequences, both known and unknown, resulting from my refusal of trip cancellation insurance.

I understand that Chappell Cruises and Travel, Inc., has advised me of the importance of such insurance and I will not hold them responsible for any risks or lost funds. By signing this form, I confirm that I do not expect Brentwood Travel to assist me in any way if my trip is cancelled or delayed for any covered reason.
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Email *
Today's Date *
First Name *
Last Name *
Email *
Name of your Chappell Cruise and Travel, Inc. Travel Agent: * *
I am confirming that I am denying travel insurance * *
Travel Insurance Waiver** By signing below, I understand that declining travel insurance could result in the loss of my travel cost and/or require more money to correct the situation. I also acknowledge that without insurance there may be no way to recoup any losses, costs or expenses incurred. ** *
A copy of your responses will be emailed to the address you provided.
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