Name *

First Name

Last Name

Cell Phone *

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Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Passport Expiration Date *

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DD

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Our Group Awareness *

I agree & understand that I am being invited into a unique non-tourist environment and welcomed into local Thai communities as a special guest and will endeavor to respect our friends and hosts with grace and gratitude.

I Agree & Understand

Our Group Understanding *

I agree & understand that I am solely responsible for myself, my health, my needs and my property, And, I am willing to keep a caring watchful eye on my fellow travelers. I embrace our group motto: Take care of yourself, take care of each other, then everyone is taken care of. I understand travel insurance is necessary and important and I have been encouraged by Karl & Noi to purchase travel insurance and accept all financial consequences should for any reason I choose not to. I will do my best to be on time for group activities and I accept and understand keeping a positive outlook and attitude benefits my experience and the experience of our entire group.

I Agree & Understand

Our Group Agreement *

I accept and understand that 'Karl & Noi' are NOT a travel company and while logistics are coordinated by Karl Anthony & Noi Brizendine, many arrangements, accommodations, ground transport, food, excursions, tours, etc. will be provided by third parties. I release all liability and hold harmless 'Karl & Noi' and Karl Anthony Music. I agree that in the unfortunate event of my health or safety being compromised in anyway, I shall not pursue any action for any kind of compensation or damages or legal action against 'Karl & Noi'. I am aware of and welcome 'Karl & Noi's role as only that of an intermediary who is organizing our SEVA experience. I assume all risks of my participation in the Thailand SEVA Trip, whether known or unknown to me, including travel to and from Thailand or any events incidental during the trip. I look forward to our travels together and remain in anticipation of the journey that await us. * 'Karl & Noi' represents Karl Anthony, Karl Anthony Music, Karl Anthony Enterprise & Kanlayanee (Noi) Brizendine.

I Agree, Accept & Understand

My Personal Responsibility *

I am responsible for having international travel insurance and health insurance and have received communications from Noi & Karl Anthony that both travel and health insurance is mandatory and important for our trip. *Not to mention a very good idea.

I Agree, Accept & Understand