I,...........................................................................hereby acknowledge that I am aware that during the trip or vacation that I am participating in under the arrangements of Mid Mak Tours & Travel (P). LTd, and its agents or associates, certain risks and dangers may arise, including, but not limited to: the hazards of traveling in mountainous terrain, high altitude, the forces of nature, civil unrest, travel by aircraft, boat, raft, automobile, bus, elephant or other means of conveyance, accident or illness in remote regions without means of rapid evacuation or availability of medical supplies and facilities, and the negligence of Mid Mak Tours & Travel (P). LTd and its affiliated organizations and their employees. I acknowledge that the enjoyment and excitement of adventure travel is derived in part from the inherent risk 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 participation.

RELEASE OF LIABILITY

As lawful consideration for being permitted by Mid Mak Tours & Travel (P). LTd to participate in such trips and activities, I hereby agree that I will not make a claim against Mid Mak Tours & Travel (P). LTd or sue for bodily injury, death, emotional trauma, and/or property damage resulting from the negligence of, or other acts, however caused, by any employee, agent or contractor of Mid Mak Tours & Travel (P). LTd, as a result of my participation on this trip. This release specifically includes giving up any right I may have to sue Mid Mak Tours & Travel (P). LTd for negligence. I hereby release Mid Mak Tours & Travel (P). LTd and its agents and employees from and against any and all liability arising out of or connected in any way with my participation, on the trip, even though that liability may arise out of negligence or carelessness on the part of Mid Mak Tours & Travel (P). LTd, and/or its agents and employees.

The Assumption of All Risks and Release of Liability agreements are entered into on behalf of all members of my family, including any minors accompanying me. These agreements are binding on my heirs, legal representatives, and assigns. If any portion of these agreements is unenforceable, the remaining portions shall remain in full force and effect. All applications are subject to acceptance by the Mid Mak Tours & Travel (P). LTd I have carefully read and do agree to all the conditions as stated under the heading "Terms and Conditions" in this brochure, especially noting the policy on cancellations and refunds.

KNOWING AND VOLUNTARY EXECUTION

I have carefully read and fully understand the contents and the conditions as stated under the heading "Terms and Conditions" attached hereto including those regarding cancellation and refund policies. I understand that this is an enforceable contract and sign it of my own free will.

Signature of applicant...................................................Date..................