Travel Insurance Waiver I have been offered and advised of travel protection / trip insurance options and fees by my travel advisor, Emily Voorn. Please enable JavaScript in your browser to complete this form.Do you have your own travel insurance? *YesNoIf yes, List Travel insurance and policy numberIf No, Reason for Decline of insurance.Departure *Return *Booking/Confirmation# *Total Trip Cost *I decline the offer to purchase travel protection / trip insurance. I understand that I am solely responsible for any cancellation penalties and out-of-pocket expenses incurred. I will also make my own separate travel, medical and any other provisions in the event of an emergency while I am traveling. I also understand that I am not protected from loss in the event of any travel vendor, travel supplier or any travel-related operator default. This waiver confirms that I voluntarily decline travel insurance and travel protection insurance for the trip described above. I understand I am solely liable for all airline fees, supplier fees, and agency fees that may apply, and I hereby release Traveling with Emily Voorn Travel, and its affiliate Archer Travel from any and all liability related to the trip described above.List of Travelers that also decline Travel Insurance *I have read this document. I understand this document and all consequences resulting from my decision to purchase or decline trip protection and trip insurance.Date *Submit