Guest Details Full Name*
First name
Middle name
Last name
Date of Birth* Expiry Date*
Domestic Flight Arrival for Start of Trip Arrival Date*
Domestic Flight Departure at end of Trip Departure Date*
Baggage Policy and Info If you will have additional baggage please send us an email with details as there is a possibility the airline will be unable to uplift bags without prior cargo reservations
Special Requests Dietary Requests and/or Allergies
Please list any allergies, or special diet requests. Please type "None" if you have no allergies or special requests.
Emergency Contact Full Name*
First & Last Name
Medivac Insurance Information
Guest Contact Details Home Address*
Agreement 1. ACTIVITIES COVERED
This Voluntary Agreement to Release Rights with respect to and Waive Liability against Indies Trader Beran Resorts Inc. (the “Agreement") is made in contemplation of any and all island, beach, ocean, fresh water, pool/spa and/or other physical activities pursued while at Beran Island or aboard the MV Indies Trader, MV Indies Surveyor, MV Windward, MV Trader TOO, MV Indies Trader lll including but not limited to, surfing, body surfing, swimming, diving, scuba diving, snorkelling, boating, riding wave runners or jet skis, beach combing, kite boarding, wind surfing, paddle boarding, stand-up paddle boarding, skim boarding, body boarding, fishing, airplane riding, weight lifting, exercising, hiking, wild life viewing or interaction, kayaking, canoeing, wake boarding, hydro foil boarding, sailing, rowing, jet boarding, and other physical activities both on and off shore (hereinafter the "Released Activities"). I further understand that from time to time, I may be offered the opportunity to participate in other activities not listed above. I understand and agree that such activities are also included within the meaning of the term Released Activities.
11. STATEMENT OF PHYSICAL CONDITION
I recognize that the Released Activities are strenuous, athletic endeavour’s requiring me to be in no less than good physical condition, and that even if I am in good physical condition, I may suffer physical or mental injuries during my participation in the Released Activities. I hereby certify that I am not aware of and do not suffer from any physical or mental infirmities or chronic illness which may affect my ability to engage in any Released Activities, and that I am not under treatment for any physical and/or psychological conditions which will affect my ability to participate in the Released Activities. I hereby attest and verify that I am physically fit and that my physical condition has been verified by a licensed medical doctor. I further certify that I am willing to assume the risk of any medical or physical condition I may have, whether I am aware of said condition or not.
Consent* I have read the above and agree to the terms. My signature and full name below will act as my digital signature.*
By my signature, I acknowledge and confirm that I have read, understand and agree to all booking conditions set forth.
Full Name*
First
Last
Date Waiver Signed: 09/22/2026
Participant is under 18 years old Yes - Participant is under 18 years old
I hereby represent that I am the parent, natural guardian, or legal guardian of the Participant and, acting in such capacity, I hereby consent to Participant's engagement in the Released Activities. In consideration for Participant being permitted to engage in the Released Activities, I hereby agree to defend, indemnify, and hold harmless the Released Parties from any and all losses, claims, actions, demands, proceedings, or causes of action which are brought by, or on behalf of, Participant. I hereby agree to defend, indemnify, and hold harmless the Released Parties from any losses, claims, actions, demands, proceedings, or causes of action which arise as a result of any defect in or lack of capacity to act as the parent, natural guardian of Participant. I further represent that I have read this entire Agreement and consent to its terms on behalf of Participant.
Full Name of Parent or Guardian
First
Last
Date Waiver Signed: 09/22/2026
