I am refusing travel insurance for my trip. The risks for declining coverage have been explained to me by my Travel Advisor. I understand that declining travel insurance means 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 the United States. I UNDERSTAND THAT I WILL NOT BE COVERED FOR:

- Lost luggage - Missed connections or airline delays - Emergency air lift assistance - Emergency medical and/or dental assistance - Death of myself and/or my travel companion(s) - Any other covered circumstances as outlined in the offered travel insurance policy

I understand that I may lose up to 100% of the cost of my vacation package/travel arrangements if my trip is cancelled or delayed. I hereby release Darlene's Travel Services, LLC and my Travel Advisor from responsibility for any consequences, both known and unknown, resulting from my refusal of trip cancellation insurance. I understand that Darlene's Travel Services 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 Darlene's Travel Services to assist me in any way if my trip is cancelled or delayed for any covered reason.

Insurance Waiver

Insurance Waiver Form