Waiver
I, , have been advised by Kirat Treks that a Travel Insurance Package Protection Plan* is available at an additional cost. I DO NOT wish to purchase this protection.

I, , have been advised by Kirat Treks that a Pre-trip Cancellation Plan** is also available at an additional cost. I DO NOT wish to purchase this protection.

/
Signature / Date

Confirmation
I, , have purchased travel insurance
with (company).

My coverage number is .
My travel insurance company phone number is:

*A Package Plan includes Trip Delay/Missed Connection, Itinerary Change, Accident Medical Expense, Sickness Medical Expense, Baggage and Baggage Delay, Medical Evacuation/Repatriation, Travel Assistance

**A Pre-tip Cancellation or Interruption reimburses your non-refundable published penalties and expenses for travel arrangements when you are prevented from taking or completing a Covered Trip.