Exotic Birding Registration Form©

Name of Tour Start Date End Date
_______________________________________________________ _______________ _______________

Desire Guaranteed Departure: YES __________ NO ____________

Prefer Private Tour _________ or Allow Others to Join Tour to get Group Rate ___________

PARTICIPANT INFORMATION

Participant Name: ______________________________________________________________________

Additional Participant/Companion: _______________________________________________________

Birding Skill Level (N=None, B=Beginner, I=Intermediate, A=Adv): Participant ____ Companion ____

Address: ______________________________________________________________________________

______________________________________________________________________________________

Contact Info:  Home Phone (____)___________________ Work Phone (____)____________________

Email: _____________________________________ Do Not Include Email on Participant List ___

ACCOMMODATION PREFERENCE

___ Double occupancy. Name of desired roommate: ________________________________________

___ Please arrange a roommate. I'll pay single supplement if none available. Gender _____

___ I want a single room when available. A single occupancy supplement will be assessed.

Separate Beds (Queen or Twin) ________ Shared Bed (King, Queen, or Double) ________
*King beds often unavailable. Queen/Double sometimes unavailable or may be 2 twins pushed together.

PAYMENT ARRANGEMENTS

Standard deposit for guaranteed departure is 20%. Otherwise, standard deposit amount is as follow:
$400pp for Central America, $600pp for South America and Asia, $1000pp for Africa. Please check
the Tour Information link on tour page or call us as a different amount may be required for some tours.

Deposit Amt Enclosed: $_________

Payment method:   Check _____    Money Order _____ Bank Wire Transfer _____

LIABILITY LIMITS

By registering for an Exotic Birding tour, each participant acknowledges that he/she is aware that travel organized or conducted by Exotic Birding LLC involves various risks and dangers including but not limited to the hazards of traveling in foreign countries and wilderness areas, transportation by air, train, bus or other conveyances, theft of personal property, tropical diseases, venomous animals, limited access to adequate/proper medical care, extreme weather conditions, geological events, exposure to high altitudes, and political events or instabilities.

The undersigned agree to assume all such risks and expressly release Exotic Birding LLC, its officers, agents, contractors, tour leaders, and other representatives to include any sponsoring organization and its representatives (hereinafter TOUR OPERATOR) from any liability, damage claims, costs, and actions pertaining to any and all risks, accidents, deaths, injuries, illnesses, property damage or loss, delays, inconveniences, or other irregularities that may occur for any reason whatever directly or indirectly in conjunction with or arising from the tour.

The undersigned acknowledge that the delivery and success of Exotic Birding tours as advertised is dependent on service providers such as guides, drivers, hotels, and restaurants providing acceptable services and agree not to hold TOUR OPERATOR liable should any such service provider fail to provide services as advertised or anticipated.

The undersigned acknowledge and accept that TOUR OPERATOR does not warrant in any fashion the success of the tour in terms of enjoyment, in terms of how many or which birds or other wildlife are actually seen or photographed by any participant on tour, or in any other way.

The undersigned agree to conduct himself/herself/themselves in a civil manner toward other participants and TOUR OPERATOR. Further, the undersigned agree that TOUR OPERATOR has the authority to eject him/her from the tour for egregious, threatening, belligerent, unruly, disruptive, or criminal behavior without refund and agree to hold TOUR OPERATOR harmless should such action be taken.

The undersigned understand that this document, once signed, shall serve as an assumption of risk, waiver, indemnity, and release by all signatories, their heirs, all members of their families including any minors accompanying the tour, executors, administrators, and any other representatives of the signatories. The undersigned further understand that the terms of this document are contractual and not merely advisory in nature. All legal matters relative to these terms and conditions as they affect Exotic Birding LLC shall be directed to and litigated only through the legal system in Duval County, in the State of Florida in The U.S.A. All legal matters relative to these terms and conditions as they affect any sponsoring organization shall be directed to and litigated only through the legal system designated by said sponsoring organization.

SIGNATURE AND SUBMISSION

IMPORTANT: By signing this agreement, each signatory acknowledges having read, understood, and accepted all terms stated above and all policies of Exotic Birding LLC regarding payments, refunds, cancellations, conduct of tours, and all other matters as stated on its website at http://www.exoticbirding.com/ or obtainable by contacting Exotic Birding LLC at 206-650-3425.

Signature: ________________________________________________________________________________

Signature: ________________________________________________________________________________

Please mail your signed registration form and deposit(s) to:

Jim Wittenberger
Exotic Birding LLC
86 Newberry Drive, St Johns FL 32259-8417 USA