Atomic Trips Leave Form


Submitted On:

To: Atomic Trips

I, , am submitting this form to request permission for an independent excursion during my participation in the Atomic Trips tour. The details of the proposed non-tour excursion are as follows:

Dates of Proposed Non-Tour Excursion: to

Exact Itinerary of Non-Tour Excursion:

Purpose of Excursion:  

I acknowledge and understand that this excursion is entirely independent of the Atomic Trips program. I am fully aware that Atomic Trips will not be responsible for arranging or conducting any aspect of this trip. I hereby release Atomic Trips, its officers, employees, and agents from all responsibilities for me during this non-tour excursion. This release is effective from the time I depart from any Atomic Trips scheduled activity or Atomic Trips-booked accommodation until I return to the Atomic Trips scheduled itinerary with the Tour Director.

I acknowledge that if I am not back at the specified time or if Atomic Trips does not receive communication from me, Atomic Trips reserves the right to leave without me. Atomic Trips will not be responsible for locating me in such circumstances.

Traveler’s Information:

  • Name:
  • Phone Number:

By signing and submitting this document, I confirm that I will be away from the tour itinerary and services on the dates above.

Leave this empty:

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Signature Certificate
Document name: Atomic Trips Leave Form
lock iconUnique Document ID: e56eccb74b31428d3cceed1235d49d064d0a1ab8
Timestamp Audit
12/08/2023 18:17 PSTAtomic Trips Leave Form Uploaded by Sabrina Weldy - hello@atomictrips.com IP 174.68.188.134