Waiver of Liability for Declining Travel Insurance Coverage Name * First Name Last Name I, the above, hereby acknowledge that I have been offered the opportunity to purchase travel insurance through Unique Romance and Adventure Travel LLC for the trip described below: Destination * Travel Dates * I understand that travel insurance provides coverage for various unforeseen events such as trip cancellation, trip interruption, medical emergencies, lost baggage, and other potential risks associated with travel. Despite being offered the option to purchase travel insurance, I have chosen to decline coverage for the aforementioned trip. I understand that by declining travel insurance, I assume all risks associated with my travel, including but not limited to trip cancellation, trip interruption, medical emergencies, and loss of personal belongings. I hereby release and discharge Unique Romance and Adventure Travel, its agents, employees, and affiliates from any liability, claims, damages, or expenses arising out of or related to my decision to decline travel insurance coverage for the specified trip. I understand that Unique Romance & Adventure Travel, LLC will not be responsible for any losses or expenses incurred during the trip, including those that could have been covered by travel insurance. I acknowledge that I have had the opportunity to ask questions and seek clarification regarding travel insurance coverage, and I fully understand the implications of my decision to decline such coverage. By signing below, I confirm that I have read and understand this waiver of liability, and I agree to release Unique Romance and Adventure Travel from any liability associated with my decision to decline travel insurance coverage. Signature * Date * MM DD YYYY Thank you!