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WAIVER, RELEASE OF LIABILITY, INDEMNIFICATION AND ASSUMPTION OF RISK FORM

FOR TRAVEL TO A COUNTRY WITH A LEVEL 3 OR 4 DEPARTMENT OF STATE TRAVEL ADVISORY OR CDC LEVEL 3 OR 4 HEALTH NOTICE

Carefully read the U.S. Department of State Travel Advisory for the destination country/ies at  the Centers for Disease Control and Prevention Health Notices at  and this Waiver, Release, and Assumption of Risk.