Travel Insurance Election | Moderntravelpros

Travel Insurance Waiver

Lead Traveler Name

Reservation number

Travel agent name

Date of departure

I acknowledge that Modern Travel Professionals has offered me travel insurance. I Decline the Offer of Travel Insurance. By declining this offer, I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also be responsible for the cost of any medical expenses, additional travel expenses or any other expenses incurred while traveling. I also understand that I am not covered for a loss in the event of any travel vendor or supplier closure or default. I hereby acknowledge that I am voluntarily declining travel protection for all members of my travel party and hereby release Modern Travel Professionals and its agents from any liability in reference to the trip outlined above. I understand that I am solely liable for any airline fees, vendor fees or additional costs incurred during this trip.

Thank you!