Individual Booking Form

Personal information
Full name (as written on passport)*
First Last
Passport number*
Passport expiry date*
Nationality*
Date of birth*
Languages spoken*

Special requests
Food and beverage (please specify special requests or preferences)
Any other information or special requests that you think we should know

Medical information
How would you describe your health?*
Are you taking any medications?*
If yes, please note: the name of the medication, what it is for and the dosage.
Do you have any limitations on your activities or any condition that might affect your health?*
If yes, please describe: the severity, symptoms, limitations and any other information you think we should know.

Accident waiver and release of liability
Note: Each member of the group will be asked to sign the following accident waiver and release of liability form on arrival in Argentina, and maybe asked to sign similar forms by individual providers. Under 18’s will need to be accompanied by a parent or legal guardian who will have to sign the form for them.
I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN THE ITINERARY FROM MACDERMOTT’S ARGENTINA, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. I certify that I am physically fit, have sufficiently prepared or trained for participation in this itinerary, and have not been advised to not participate by a qualified medical professional. I certify that there are no health-related reasons or problems which preclude my participation in this itinerary. I acknowledge that this Accident Waiver and Release of Liability Form will be used by MacDermott’s Argentina organizers of the itinerary in which I may participate, and that it will govern my actions and responsibilities at said itinerary. In consideration of my application and permitting me to participate in this itinerary, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from the negligence or fault of the entities or persons released, for my death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to me including my travelling to and from and during this itinerary, THE FOLLOWING ENTITIES OR PERSONS: MacDermott’s Argentina Limited and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS, AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this itinerary, whether caused by the negligence of release or otherwise. I acknowledge that MacDermott’s Argentina and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. I acknowledge that this itinerary may involve a test of a person's physical and mental limits and carries with it the potential for death, serious injury, and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, lack of hydration, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the itinerary. These risks are not only inherent to participants, but are also present for volunteers. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this itinerary. I understand while participating in this itinerary, I may be photographed. I agree to allow my photo, video, or film likeness to be used for any legitimate purpose by the itinerary holders, producers, sponsors, organizers, and assigns. The Accident Waiver and Release of Liability Form shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law.*
- I CERTIFY THAT I HAVE READ THIS DOCUMENT AND I FULLY UNDERSTAND ITS CONTENT. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT AND I SIGN IT (BY TICKING THE BOX) OF MY OWN FREE WILL.

Additional information
ONLY COMPLETE IF THE INFORMATION DIFFERS FROM YOUR GROUP LEADER
Insurance information
PLEASE INCLUDE: NAME OF COMPANY - POLICY NUMBER - EMERGENCY TELEPHONE NUMBER Policy must cover: trip cancellation, travel delays, baggage loss and delays, non-refundable airline tickets, accident/life coverage, nonrefundable flights, and to do in Latin America all of the activities mentioned in your itinerary:
International flight details: ARRIVAL

PLEASE INCLUDE: DATE - TIME - FLIGHT NUMBER Please let us know if any changes are made to your flight itinerary as soon as possible. MacDermott’s Argentina is not responsible for checking if your flight schedule has been changed in any way.
International flight details: DEPARTURE

PLEASE INCLUDE: DATE - TIME - FLIGHT NUMBER Please let us know if any changes are made to your flight itinerary as soon as possible. MacDermott’s Argentina is not responsible for checking if your flight schedule has been changed in any way.
Name and contact in case of emergency:
PLEASE INCLUDE: FULL NAME - PRIMARY & SECONDARY TELEPHONE NUMBERS - WORK & PERSONAL EMAIL
Date*
DD slash MM slash YYYY

Please check all the information you have entered carefully before entering the date and clicking the button below to submit the form.

Individual Booking Form

This form is ONLY for individual members of a group. That is to say, one of a group who is not paying directly (i.e a partner or child).

If you are going to make a payment please CLICK HERE.

Before filling out the form please read carefully through our TERMS & CONDITIONS AND PRIVACY POLICY.

If there are several of you who need to fill in the form simply reload the page once you have clicked the submit button.

To fill out this form you will need the following information:

Step 1 of 5

Personal information

Special requests

Medical information

Accident waiver and release of liability

Additional information

Individual Booking Form

This form is ONLY for individual members of a group. That is to say, one of a group who is not paying directly (i.e a partner or child).

If you are going to make a payment please CLICK HERE.

Before filling out the form please read carefully through our TERMS & CONDITIONS AND PRIVACY POLICY.

If there are several of you who need to fill in the form simply reload the page once you have clicked the submit button.

To fill out this form you will need the following information:

Step 1 of 5

Personal information

Special requests

Medical information

Accident waiver and release of liability

Additional information

Subscribe to our newsletter