Travel Insurance Waiver

Fill out this form to decline the addition of travel insurance (known as the Travel Protection Plan or Vacation Protection Plan) to your vacation package.

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Authorization

Decline Travel Protection Plan(Required)

I am refusing travel insurance for my trip.

The risks for declining coverage have been explained to me by my Vacation Specialist. 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.

I UNDERSTAND THAT I WILL NOT BE COVERED IN THE EVENT OF THE FOLLOWING INCLUDING BUT NOT LIMITED TO: Trip Cancellation/Trip Interruption, Trip Delay, Baggage Loss, Bag Delay, Emergency Medical Protection, Emergency Evacuation/Repatriation, Travel Accident, Rental Car Damage

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

I hereby release Mouseways, LLC, its administration, personnel, and my Vaction Specialist from responsibility for any consequences, both known and unknown, resulting from my refusal of trip cancellation insurance.

I understand that Mouseways 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 Mouseways to assist me in any way if my trip is cancelled or delayed for any covered reason.

By declining travel insurance, I agree to these terms.

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Please type your name here to confirm you are declining travel insurance.

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Travel Insurance Waiver

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