The Nicaragua Experience Trip Application

General Information

Name *
Name
Home Address *
Home Address
Phone Number *
Phone Number
Birthday *
Birthday
Gender *
Expiration Date *
Expiration Date
List multiple airports if you would like.
What are your desired travel dates? *
What are your desired travel dates?
Date when you plan on landing in MGA - Managua International Airport.
Including food, assistance needs, etc.
Health Information
Do you have or have you ever had *
select all that apply
Emergency Contact Information
Applicant Agreement *
The information I have provided is true and complete to the best of my knowledge and I authorize See The World In Color LLC to verify the authenticity of my statements with the appropriate authorities, including criminal background checks on applicants, doctor’s reference or exam, and personal reference contact. See The World In Color LLC requires compliance with rules and regulations, including the rules concerning conduct and dress. These are explained in the Welcome Packet, which will be provided to travelers. Failure by travelers to comply with these policies is grounds for dismissal, without refund or reimbursement. Accepted applicants travel at their own risk, and See The World In Color LLC is not liable in the event of sickness, accident, death, terrorist acts or for transportation and any other expense beyond normal involvement. Application/Deposit fees received by See The World In Color LLC are not refundable and will be applied to the total cost of the trip. We require all participants to be in good physical condition. I have read and understand the above information. The information I have given See The World In Color LLC is accurate and true to the best of my knowledge. My signature signifies my approval of all limitations and conditions listed above. If any information on this application is materially incorrect, I understand that my participation may be terminated. Also, I understand that it is very important, and my responsibility, to immediately update See The World In Color LLC, in writing, with any changes to the information on this application.
Assumption of Risk Agreement *
In connection with my application to travel with See The World In Color LLC, represent and agree, as follows: (A) I am aware of the hazards and risks to my person and property associated with the overseas travel activities for which I am applying and I understand that such hazards and risks include, but are not limited to, death or injury by accident, sickness/disease, terrorist acts, the inherent uncertainty of foreign travel, weather/temperature conditions, and inadequate medical transportation, supplies and facilities. I choose to travel with See The World In Color LLC despite such hazards and risks, and I assume the risks of death, sickness, injury, inconvenience and/or damage, actual or consequential, associated with such known or unknown risks. (B) I attest and verify that I am physically fit for this volunteer service, that I understand the potential risks of this volunteer effort, that I have consulted with a medical professional of my choice, and to the best of my knowledge have no medical conditions that would prevent me from performing the volunteer services for which I am applying. (C) In consideration of travel and other arrangements made for me by See The World In Color LLC, and on behalf of myself, my heirs, and my personal representatives, I hereby release and discharge See The World In Color LLC or other of its officers, directors, agents, employees, or other representatives from and against any losses, liabilities, damages, costs or expenses, including reasonable attorney fees, arising out of my participation, in this trip, whether in transit, at all times with See The World In Color LLC, or during any optional sightseeing trips or excursions; including but not limited to personal harm/injury, or property or other damage from any such known or unknown risks. I expressly waive any and all claims for losses, liabilities, damages, costs or expenses (including those contracted for on my behalf in paragraph D) which I may have against See The World In Color LLC, its agents, or employees, including claims based on their ordinary negligence, now or at any future time. Throughout my travels, I will provide my own insurance coverage at my own expense. (D) I understand that travel will be in an underdeveloped nation or in an area affected by strife and natural disaster; therefore, it may be difficult or impossible for See The World In Color or its agents or employees, to guarantee or meet evacuation, medical, or special dietary needs. In the event of a medical emergency I hereby authorize officers of See The World In Color LLC to contact my emergency contact persons, to discuss my health information with medical personnel, and to seek, and contract for as necessary, medical care, evacuation and treatment on my behalf.
Traveler Financial Agreement *
In connection with my application for travel with See The World In Color LLC, represent and agree, as follows: I hereby acknowledge that I am responsible for the entire cost of my trip as given by See The World In Color. The first half of my total trip cost is due six weeks prior to departure. The remaining balance is due two (2) weeks prior to departure and must be in the possession of See The World In Color LLC to be considered complete. If for any reason I do not resolve all financial balances by this deadline I understand that my reservations will be cancelled and I will be responsible for 50% of the total cost of the trip.