REGISTRATION FORM, CONSENT WITH RECOGNITION AND KNOWLEDGE OF RISKS. DISCLAIMER. ADVENTURE TOURISM SERVICES.

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BirdsChile, by virtue of Law 20,423, Decree No. 222 of the Ministry of Economy, Development and Tourism; and the norm NCh3069.Of2007, puts at your disposal this file, which must be completed by the client himself or by his legal representative in case of being a minor, with reliable and truthful information, prior to the realization of the activity contracted. In case of underage participants, the following data must be completed by the tutor who accompanies him/her.

PERSONAL DATA

DATE OF BIRTH

ABOUT YOUR ACTIVITY

DATE OF YOUR TOUR

EMERGENCY CONTACT

DECLARATION
1- Do you have experience in similar activities?


Please tell us about it...

2- Do you have insurance?


Please provide complete Insurance Company information.

3- Do you have any allergies?


Please specify what you are allergic to

4- Any contraindicated medicines?


Please specify

5- Do you have a special diet?


Please specify

6- Any recent medical surgeries?


Please specify

7- Are you pregnant?

ADDITIONAL COMMENTS

I understand that the activity organized and executed by BirdsChile may eventually involve certain risks.
I know and understand the magnitude, nature and scope of the risks involved in the field trip organized by BirdsChile. I understand that these risks include those related to carrying out activities in mountainous, jungle, desert or wild areas, accidents or illness in remote regions without medical care infrastructure, high altitude above sea level, storms, cold and other forces of the nature, and any other risk inherent to this type of activity, including the necessary transfers to carry it out.

I understand and accept that BirdsChile, are not responsible for protecting me against falls, avalanches, stone collapses, illness or accidents in remote areas, low temperatures and other risks. I declare to understand and accept that BirdsChile has organized the trip and are not responsible for any injury resulting from the risks and dangers described in this document.

By means of this document I accept that I am obliged to follow the indications or instructions offered by the guide in charge of the activity, designated by BirdsChile, during the program in which I am participating.

I also understand and acknowledge that the risks and / or hazards inherent in this activity are not limited to those described in this document. Knowing of these possible risks and dangers, I declare that I am fully capable of participating in these activities and I am in the necessary mental and physical conditions. In the event that, due to accident or illness during this trip, I am unable to communicate, I authorize the necessary medical assistance, and I agree to cover the costs of it.

Therefore, I assume all liability to myself, in regard to personal injury, theft, damage and / or loss of my property and even death; for the same reason I declare that neither I, nor any of my relatives, friends, acquaintances or legal representatives will initiate petitions, denunciations, demands or any other judicial or administrative action against BirdsChile, for damages, illness, injury or death resulting from the participation in this activity.

I also authorize BirdsChile the right to use any photograph/video taken during the trip in publications or other media material produced, including but not limited to: brochures, invitations, books, newspapers, magazines, television, websites.

TODAY'S DATE

Privacy: Your name and other information will be treated confidentially and will not be given to third parties without your consent, unless required by law.

If you have any questions please contact us at info@birdschile.com

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