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In order to apply for a trip, every individual must fill out a separate application form. You can either print out the form from download form and mail it to us or you can use the online form below. Your place on the requested trip will be reserved 1) for 7 days following your application receipt or 2) until receipt of the $400 deposit, whichever comes first. (deposits should be made out  and sent to the address below.
Trip Application
Earthbound Expeditions, Booking Office 5427 Palmyra Road, Pittsford, NY 14534
(716) 317-4969
Please fill in all the information
Name of Trip
Date of Departure
Your Full Name (as it appears on your passport)
Mailing Address
City
State
Zip
Fax
Home Phone
Office Phone
email

Occupation
Marital Status
Sex
Age
Height
Weight

Citizenship
Date of Issue
Place of Issue
Passport Number
Birthplace
Birthdate (Month/Day/Year)

Have you been on previous Earthbound Expeditions trips?
Yes
No
Which ones? (include year)
I am willing to share a double room
Nonsmoker
Smoker
I prefer a single room at supplemental cost
Dietary Restrictions

Relation
In Case of Emergency please notify:
Telephone
Address

Earthbound Expeditions will make all domestic air travel arrangements in the trip country according to the trip itinerary.
Seating Preference
How did you find out about Earthbound Expeditions?
Please describe your health and extent of your camping, hiking, or other outdoor experience

Release of Liability and Assumption of All Risks
PLEASE READ CAREFULLY: THIS IS A LEGALLY ENFORCEABLE WAIVER OF RIGHTS.
ASSUMPTION OF RISKS
, acknowledge that I have voluntarily applied to participate in the trip
I,
designated on this application (or a trip which I may subsequently transfer to). I am voluntarily participating in the tour or expedition with knowledge that travel to the foreign countries and/or remote areas visited by this trip involves numerous risks and dangers including, but not limited to: the forces of nature; civil unrest; terrorism; roads, trails, hotels, vehicles, boats, or other means of conveyance that are not operated or maintained to standards common in the United States; high altitude; accident or illness without access to means of rapid evacuation or availability of medical supplies; the adequacy of medical attention once provided; physical exertion for which I am not prepared; consumption of alcoholic beverages; or negligence (but not willful or fraudulent conduct) on the part of Earthbound Expeditions, Inc., or others. I acknowledge that the enjoyment and excitement of adventure travel is de rived in part from the inherent risks incurred by travel and activity beyond the accepted safety of life at home or work and that these inherent risks contribute to such enjoyment and excitement, being a reason for my voluntary participation.
I HEREBY AGREE TO BE RESPONSIBLE FOR MY OWN WELFARE, AND ACCEPT ANY AND ALL RISKS OF DELAY, UNANTICIPATED EVENTS, ILLNESS, INJURY, EMOTIONAL TRAUMA OR DEATH AND VERIFY THIS STATEMENT BY MY SUBMISSION OF THE ABOVE APPLICATION.
I acknowledge that the cost of all Earthbound Expeditions trips has been based upon Trip Participants executing this Release of Liability and Assumption of All Risks. Therefore, as lawful consideration for being permitted to participate on such trip(s), I hereby RELEASE AND DISCHARGE Earthbound Expeditions, INC. AND ITS AGENTS AND EMPLOYEES FROM AND AGAINST ANY AND ALL LIABILITY ARISING FROM MY PARTICIPATION IN THE TOUR OR EXPEDITION. I agree this release shall be legally binding upon myself, all minors under the age of 21 traveling with me, my heirs, successors, assigns, and legal representatives; it being my intention to fully assume all the risk of travel and to release Earthbound Expeditions, Inc. from any and all liabilities to the maximum extent permitted by law.
I understand that all applications are subject to acceptance by Earthbound Expeditions and upon acceptance shall be deemed to have been entered into and to be performed in Tucson, New York. In the unlikely event a legal dispute should arise involving any subject matter whatsoever, I agree that the following conditions will apply: (a) the dispute shall be settled by binding arbitration through the American Arbitration Association in Tucson, New York; (b) the dispute will be governed by New York law; and (c) the maximum amount of recovery to which I will be entitled under any and all circumstances will be the land cost of my trip with Earthbound Expeditions.
I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effetc.
KNOWING AND VOLUNTARY EXECUTION I have carefully read and fully understand the contents and legal ramifications of this agreement as well as all the conditions as stated under the heading Terms and Conditions of this site, especially noting those regarding cancellation and refund policies, limitation of liability, and responsibility borne by trip participants. I understand this is a legally binding and enforceable contract and sign it of my own free will.
In submitting this application, I and agreeing to all the statements in the Release of Liability and Terms and Conditions sections of this site. I also am attesting to the truthfullness of all the information which I have provided on this form.