Anderson Travel and Tours

Medical Form – Motorcoach Tours

Health Questionnaire

Guest Name
(phone you will have with you on the tour)
Birthdate:

LEGAL COMPLIANCE NOTICE
Under the safety standards and duty-of-care requirements set forth by our insurance underwriters and tour safety regulations, Anderson Travel and Tours, LLC is required to maintain accurate written emergency medical data for every passenger on board. Completing this form in full is a mandatory condition of travel. Failure or refusal to submit a complete form invalidates your boarding eligibility under our standard Tour Terms and Conditions.

Companion Disclosures Are Not Allowed: Verbal health disclosures and unsigned written disclosures that do not include Anderson Travel and Tours, LLC legal disclaimers are not allowed to be relayed to EMS by travel companions. If travel companions are simultaneously incapacitated, in shock, or separated during a crisis, Anderson Travel and Tours is the legally authorized entity to relay medical information to EMS.

Youth, Minor, & Teenager Accompaniment (Guest under Age 18):

Note: If guest is a minor under 18 years of age traveling without a parent/legal guardian, a separate parental consent form must be signed and an adult guardian named who is legally authorized to execute medical decisions for the minor.

PRIVACY NOTICE: The medical data collected on this form is strictly confidential and will only be accessed by your Tour Director and any licensed EMS personnel during a health emergency. We do not share data with any 3rd party and do not store this data. A new form is required for each tour.
_________________________

Please select all medical conditions you have been diagnosed with or treated for within the past 5 years below.

Check all that apply below:

MEDICAL HISTORY:

Emergency Situation Questions

Blood Thinners: In the event of an emergency, EMS personnel will immediately ask if you take blood thinners such as (Coumadin, Eliquis, Xarelto, Plavix, Aspirin)

Do you take blood thinners?

Rescue Medications: In the event of an emergency, EMS personnel will immediately ask if you carry any type of rescue medication on your person (pocket, purse, etc.)
Check all that apply below.

Do you carry immediate rescue medication?

Instructions for Rescue Medications:
If you selected YES to the question above, list specific instructions on dosage, how to administer your medication, etc. and where you keep it in case of an emergency.

Allergies

Note: Allergies vs. Side Effects

  • Common Side Effects of medications: (NOT an Allergy): mild nausea, vomiting or diarrhea, mild drowsiness, headache, etc. If you experience these effects with no other severe effects, select NO for medication allergies.The Two-System Rule for Allergic Reactions: True Allergies trigger Anaphylaxis which involves two or more body systems. For example, nausea combined with hives, dizziness, or a cough means the reaction is serious.
  • True Allergic Reactions (Select YES) if you experience Anaphylaxis: a sudden, severe, and potentially life-threatening allergic reaction that affects multiple body systems. Examples below:
    • Stomach: Sudden severe nausea with repetitive, forceful vomiting, diarrhea, and/or severe cramps.
    • Breathing: Wheezing, shortness of breath, coughing, or throat tightness (throat and tongue swelling that blocks airways).
    • Skin: Hives, widespread itching, redness, or swelling of the lips, tongue, eyes, ears or entire face.
    • Circulation (Anaphylactic Shock): progression of anaphylaxis with cardiovasular issues and critically low blood pressure. (pale, cold, or clammy skin, a weak or rapid pulse, extreme confusion, loss of consciousness)

Medication Allergies

Medication Allergies?

If you selected YES:

~ List the Medications you are allergic to + your reaction(s): breathing, circulation, skin, stomach (see descriptions above)

Examples of how to list them:
Penicillin – Skin, Circulation, Breathing
NSAIDs – Circulation, Stomach
________________________

Food Allergies

Food Allergies?

If you selected YES:

~ List the Food(s) you are allergic to + your reaction(s): breathing, circulation, skin, stomach (see descriptions above)

Example:
Peanuts – Skin, Circulation, Breathing
_________________

Other Allergies
(insects, latex, environmental, etc.)

Other Allergies:

~ List the insects, latex, environmental, or other things you are allergic to + your reaction(s): breathing, circulation, skin, stomach (see descriptions above)

Example:
Wasp Stings – Skin, Circulation, Breathing
_________________

Medical Devices and Supplies

Medical Supply Travel Preparedness
Motorcoach tours travel through remote regions where local pharmacies and medical facilities do not carry specialized medical supplies, replacement parts, or specific medications (prescription as well as OTC).

You MUST plan to bring DOUBLE the required supplies/meds for your medical conditions, along with all necessary backup power, cooling, accessory equipment, etc.
____________________

Ostomy / Medical Appliance: You must bring double the required bags, seals, clips, and skin barriers for the entire trip.

Diabetes / Insulin / GLP-1: I am bringing double the testing/CGM supplies, fast-acting glucose, emergency kits, dedicated cooling wallets (not relying on hotel mini-fridges), and high-capacity power banks/chargers, sharps

CPAP / BiPAP Device: I am bringing backup cushions, headgear, hose, battery/power backups, a 15-ft heavy-duty extension cord with power strip, and distilled water if using a humidifier. disposal containers, etc.

Hearing Aids: I am bringing extra hearing aid batteries (or a portable charging dock with backup power banks), cleaning tools, replacement wax guards/domes, and a protective storage case.

Medical Devices/Supplies (check all that apply)

Passenger Independence

Passenger Independence & Companion Care Policy
Group motorcoach travel requires participants to maintain independence in all daily activities or have a dedicated caregiver travel with them.
Tour Directors, drivers, and fellow passengers are logistics staff and co-travelers; they cannot act as personal care attendants, medical monitors, or individual escorts.

Passenger Independence Verification

INDEPENDENT TRAVELER – if you certify that you are fully self-sufficient and able to independently manage ALL of your own mobility, personal care, medication schedules, orientation, and daily travel needs without relying on tour staff or other passengers.

DESIGNATED COMPANION CARE AGREEMENT – if you require assistance with some or all daily tasks, mobility, or orientation and will be traveling with a designated companion who explicitly agrees to remain with you and assume full, continuous responsibility for all needed personal care, physical assistance, and 24-hour supervision throughout the tour. (Type the name of your designated companion below the checkbox.)

Independence Verification:
Designated Companion:

Medical Directives

Important Notice to Our Passengers Regarding Medical Directives

Emergency Medical Services (911 responders) are legally required to perform full life-saving measures during a tour unless a legally valid, physician-signed physical document is presented to them on-site.

First responders cannot legally honor a checkbox on this form, nor can they honor a standard “Living Will” or “Healthcare Power of Attorney” on a motorcoach.

_______________

Out-of-Hospital Directives

OUT-OF-HOSPITAL DIRECTIVE VERIFICATION

Do you have a legally executed, physician-signed medical order explicitly instructing emergency responders to withhold resuscitation?

Check one of these options in the box below:

~ NO, Standard Living Will Only (if you do not have a physician-signed medical order that applies outside of a hospital environment)

~ YES, Out-of-Hospital DNR Order (Do Not Resuscitate)

~ YES, POLST / MOLST / POST Form (Physician/Medical Orders for Life-Sustaining Treatment)

Legally Signed "Out-of-Hospital" Directive?

DIRECTIVE ACCESSIBILITY and IDENTIFICATION

Accessibility & Identification: If you checked YES to a DNR or POLST option above, how will first responders easily verify this during an emergency on the tour? 

Check one of these options in the box below:

~ Do you wear an official, engraved Medical ID Bracelet or Necklace that clearly states your DNR status?

~ Will you carry a physical, paper copy of your signed form at all times in your personal day bag or jacket pocket?

By selecting a box below, I understand that Anderson Travel and Tours and its tour directors are not medical professionals and cannot enforce my medical directives. I acknowledge that if my physical, legally binding state document or official medical ID is not immediately accessible to 911 responders during an emergency, life-saving measures will be performed. I take full responsibility for carrying my own legal medical paperwork.

Accessibility and ID
(look on the back of your insurance card)
Did you buy Travel Insurance:
Note: without travel insurance, there are no refunds if you must cancel, no refunds for lost or stolen luggage/bags, no reimbursement for up-front medical costs, no reimbursement for extra lodging and transportation if you get sick and must stay in a location for medical treatment (we must leave you and proceed with the tour). You assume ALL risks by traveling without travel insurance. Anderson Travel and Tours, nor the tour operator (Diamond Tours) are responsible for any losses you incur.

Reminder – Bring these with you:
~ Printed List of Medications with Dosages
~ Health Insurance Cards
~ Prescription Cards
~ Driver’s License/ID
~ Medical Bracelet
~ Extra Medical Supplies / Meds
~ Out-of-Hospital Directive (if applicable)

Keep these in your Carry-On Bag.

Take photos of ALL health cards, credit cards, Driver’s License, etc., in case your cards are ever lost or stolen.

Complete the Information below for your emergency contact.

DO NOT list a spouse, partner, or companion traveling with you on this tour! This MUST be someone off-site who can be reached in an emergency.

(spouse, child, other relative, guardian, friend, etc.)
Emergency Contact's Address:

By typing my digital signature below, I certify and acknowledge the following operational truths:

  1. Passenger Independence: I understand tour staff are logistics coordinators, not medical professionals or personal caregivers, and cannot execute, enforce, or monitor individual medical directives, medication regimens, or care plans. If I am not 100% independent, I understand I must travel with a designated care companion.
  2. Liability Release: I release Anderson Travel and Tours, LLC from liability resulting from undisclosed medical conditions or failure to carry required medical forms.
  3. Emergency Services Consent: If my health condition suddenly changes, I have an accident, or I lose consciousness, I authorize tour personnel to contact 911 emergency services immediately. I accept full, exclusive financial responsibility for any expenses incurred from local EMS dispatch, ambulance transit, hospital emergency rooms, or emergency evacuation.
  4. Assumption of Liability: If I withhold accurate health data, fail to carry my physical out-of-hospital medical paperwork, fail to pack sufficient medications or medical supplies, fail to update Anderson Travel and Tours, LLC of changes in my health prior to the tour, or misrepresent my fitness to travel based on the passenger requirements outlined in the Terms and Conditions agreement, I release the tour operator, tour director, driver, and all other tour staff from all liability, claims, or damages resulting from subsequent medical complications, from being denied boarding, or from an enforced removal from the tour itinerary if I do not meet the physical, mental, cognitive, medical, or communication requirements for the tour and do not have a designated companion assuming 24-hour management of my care.
  5. Travel Insurance Claims: If I must file a claim, I understand that I must read my policy PRIOR to the tour and understand all procedures/processes, required documentation, doctor visits/notes, etc. that are required in the event of a medical event. I understand that filing a claim is between the travel insurance company and me, and neither the tour operator nor Travel Advisor/Tour Director can legally intervene.
  6. Risk Acceptance: I understand that if I do not purchase travel insurance, I will be responsible for all up-front medical costs, filing my own health insurance correctly, and, if I must stay in an area for medical treatment, the cost of all lodging and return transportation home. 
  7. Medical Transportation: I understand the motorcoach cannot transport me to/from a medical facility if I need care, that I must secure transportation if EMS transport is not provided, and that the tour cannot be delayed for my medical care, and that it is my responsibility to catch up with the tour or return home.

CLICK HERE TO READ THE FULL TOUR TERMS AND CONDITIONS AGREEMENT

I have read and agree to the terms above, have read and agree to the full Terms and Conditions Agreement, and have verified the information provided on this form is accurate.
READ: Tour Terms and Conditions Agreement

Anderson Travel and Tours, LLC (travel agency)
FULL TERMS and CONDITIONS AGREEMENT
for Motorcoach Tours with Diamond Tours, Inc (Tour Operator)

Deposit, Final Payment, Registration, Cancellation Fee, Refunds
DEPOSIT and REGISTRATION

Non-Refundable Deposit:
Each of our tours require a $75.00 non-refundable deposit per person.
If you must cancel prior to final payment, you can choose to move your $75.00 per person to another motorcoach tour or apply it to a cruise or another trip.

Registration Creates Booking Reservation and Holds Seats for 10 days:
Completing a registration form for a tour officially creates your booking reservation and holds your seat(s) on the tour. Anderson Travel and Tours, LLC will hold your seat(s) on a tour for 10 days after receiving your registration form (prior to final payment).

Release of Seats on Reservation and Cancellation Fee:
After a tour booking is made, if we do not receive your $75.00 deposit per person within 10 days and we do not receive communication from you regarding any issues getting the deposit to us, your seats will be dropped and instead you will receive an invoice with a $75 per person cancellation fee due upon receipt and made payable to Anderson Travel and Tours, LLC only by check or cash.

FINAL PAYMENT

Invoice:
Once you have paid your $75 per person deposit, you will receive an invoice showing how much you owe for final payment. This invoice will also show the due date for when we must “receive” your final payment.

Booking a Tour after the Final Payment date:
If you book a tour after the final payment date, you must pay the full balance for the tour at once.

Non-Payment of Final Payment by the due date:
If you pay your deposit, but do not pay your final payment by the due date and do not contact us to make us aware of any issues and do not respond to communication from Anderson Travel and Tours, LLC regarding payment, your seat(s) will be dropped on the tour and you will forfeit your $75.00 deposit (you will not be able to use it toward another trip).

REFUNDS

Cancellation After Final Payment: travel insurance must be filed in order to receive a refund. If you do not purchase travel insurance, you will not receive a refund if you must cancel after final payment.

If the minimum number of people for a tour is not reached and Anderson Travel and Tours, LLC must cancel a tour, the full amount paid will be refunded to you. You can also choose to move your money to another trip.

Cancellation Prior to Final Payment: you will receive a refund of any money paid minus the $75.00 per person non-refundable deposit.

Passenger Requirements
(Disclosure of Physical, Mental, Cognitive, Medical, and Communication Capabilities)

Mobility Requirements for Passengers:

Walking & Terrain: Ability to walk unassisted for several blocks at a time over varying surfaces, including uneven pavement, cobblestones, natural terrain, and stairs while maintaining stability.

Motorcoach Entry & Aisle Navigation: Ability to independently climb and descend motorcoach entry stairs, move through narrow aisles, and sit comfortably next to another guest while keeping arms and legs clear of the aisle.

Standing & Pace: Capacity to stand unassisted during attraction queues or group briefings, and maintain the general walking pace of the tour group without causing safety hazards or delays.

Attraction & Venue Access: Ability to independently enter and exit venues, restaurants, and hotels. Guests may not remain on the motorcoach during attractions, tour stops, or group meals.

Mobility Devices & Luggage: Ability to handle personal carry-on bags independently and take overnight luggage plus a carry-on bag into hotels without luggage handling. Foldable walkers or manual wheelchairs must fit in cargo storage bays; heavy motorized scooters or oversized equipment cannot be accommodated.

Mobility Companion Policy:
Guests who cannot meet all mobility requirements unassisted, require physical stabilization, need help maneuvering mobility devices, or require personal assistance walking or boarding must travel with a designated companion. The companion must pay standard tour rates and assumes full, continuous responsibility for providing all physical assistance, pushing wheelchairs, loading personal mobility devices, and supporting the passenger throughout the trip. Tour Directors and motorcoach drivers are responsible for group logistics and safety and cannot act as personal care attendants, physical escorts, or mobility assistants.

ADA / Accessibility Notice:
There is NO guarantee that sidewalks, attractions, buildings, hotels, restaurants, restrooms, etc. will be accessible/ADA compliant.

Communication Requirement for Passengers:
~ The ability to hear instructions from the tour director, driver and guides.
~ The ability to verbally communicate with the tour director, driver and guides.

Communication Companion: Guests who have auditory or verbal communication impairments must travel with a designated companion who assumes all responsibility to communicate with the passenger ALL safety rules and tour instructions, and will communicate on behalf of the passenger with the tour director, driver and guides.

Mental, Cognitive & Behavioral Requirements for Passengers:

Cognitive & Orientation Awareness: The ability to understand time limits, follow verbal and written instructions from the Tour Director, retain orientation during group outings, and independently navigate return routes to the motorcoach or hotel on schedule.
Emotional & Behavioral Self-Regulation: The ability to maintain appropriate, respectful public behavior and self-regulate emotional responses in group settings. Intentionally disruptive, aggressive, hostile, irate, or harassing behavior toward tour staff, drivers, venue employees, or fellow passengers is strictly prohibited.
Medication Compliance & Self-Care: Passengers who rely on daily prescription medications for mental, emotional, cognitive, or physical health management must remain fully compliant with their prescribed medication schedules throughout the entire duration of the tour.
Behavioral Companion Policy: Guests with cognitive impairments (such as early-stage dementia or memory loss) or behavioral conditions that may cause disorientation, distress, or non-compliance must travel with a designated companion. The companion assumes full responsibility for 24-hour supervision, gentle orientation, behavioral management, and ensuring daily medication schedules are strictly maintained. Tour staff cannot serve as medical monitors, behavioral escorts, or medication administrators.

Sensory, Attentional & Group Auditory Standards:

Listening & Instruction Adherence: Passengers must possess the capacity to focus on, retain, and immediately follow verbal instructions, safety announcements, and schedule briefings provided by the Tour Director, motorcoach driver, and step-on tour guides.
Auditory & Group Courtesy Standards: Group travel requires a shared quiet environment during guided commentary, step-on guide presentations, and official driver announcements. Passengers must maintain appropriate vocal volume control and refrain from incessant, loud talking or ongoing audible distractions that prevent fellow passengers from hearing guides, audio systems, or safety directives.
Sensory & Behavioral Management: Guests with conditions related to sensory processing, focus, or communication habits must prepare and manage their individual sensory needs, focus levels, or communication habits without compromising group safety, disrupting scheduled presentations, or impeding the tour experience of other travelers.
Required Traveling Companion for Assistance: If a passenger’s sensory processing needs, attentional focus limitations, cognitive condition, or communication habits require dedicated redirection, repeated verbal prompts to follow group rules, or continuous behavioral monitoring, the passenger must travel with a designated companion. The companion must pay standard tour rates and assumes full responsibility for assisting the passenger, ensuring compliance with quiet commentary periods, and managing any sensory or behavioral distress. Tour Directors and step-on guides are responsible for leading the entire group and cannot serve as dedicated personal aides or behavioral handlers.

Passenger Independence & Companion Care Policy
Group motorcoach travel requires participants to maintain independence in all daily activities or have a dedicated caregiver travel with them.
Tour Directors, drivers, and fellow passengers are logistics staff and co-travelers; they cannot act as personal care attendants, medical monitors, or individual escorts.

Passenger Independence Verification

Passengers must certify whether they meet the requirements to travel as an independent traveler or if they will require a designated companion to travel with them who accepts all responsibility for care 24 hours a day throughout the tour.

INDEPENDENT TRAVELER – to travel as an independent passenger, you must certify that you are fully self-sufficient and able to independently manage ALL of your own mobility, personal care, medication schedules, orientation, and daily travel needs without relying on tour staff or other passengers.

DESIGNATED COMPANION CARE AGREEMENT – if you require assistance with some or all daily tasks, mobility, communication, or orientation, you must travel with a designated companion who explicitly agrees to remain with you and assume full, continuous responsibility for all needed personal care, physical assistance, and 24-hour supervision throughout the tour.
___________________

MISREPRESENTATION, OMISSION OF CAPABILITIES & RIGHT OF REMOVAL

Accuracy of Information: Passengers are strictly required to provide complete, truthful, and accurate information about their physical, mental, cognitive, medical, and communication capabilities upon registration and on all pre-tour forms. If a passenger’s health, mobility, or cognitive status changes between registration and the departure date, the passenger is required to notify Anderson Travel and Tours, LLC immediately prior to travel.

Assessment & Right of Removal: If a passenger falsifies, misrepresents, or omits details regarding their capabilities, or fails to report a change in status, and Anderson Travel and Tours, LLC (or its representatives) determines prior to or during the tour that the passenger:

Cannot safely fulfill the mandatory physical or communication requirements of the tour,
Requires individual care, medical monitoring, or physical assistance that exceeds group tour logistics, or
Causes significant timing delays, safety risks, or disruption to the scheduled itinerary and overall tour experience of other passengers,
Anderson Travel and Tours, LLC reserves the right, in its sole discretion, to immediately terminate that passenger’s participation in the tour.

Passenger Responsibility Upon Dismissal: In the event a passenger is removed from a tour under this policy, Anderson Travel and Tours, LLC’s responsibility to that passenger ceases immediately. The passenger will receive no refunds for unused portions of the tour, accommodations, or paid attractions. The passenger is solely responsible for arranging, securing, and paying for all of their own immediate lodging, meals, and return transportation home at their own expense.

Guest Responsibilities, Required Medical Forms and other Forms
MANDATORY GUEST RESPONSIBILITIES:

Guests will receive emails with invoices, updates, and REQUIRED additional forms to complete before the tour, including (but not limited to):
~ a medical history and emergency contact form
~ cell phone form
~ menu selection form
~ other tour-specific forms.

Anderson Travel and Tours does NOT print/mail paper forms.

PRE-TOUR EMAIL and TEXTS:
We will send an email with links to complete required forms and provide downloadable links to the itinerary, a packing list, parking instructions, tour information, motorcoach/tour rules, etc., about 2 weeks before the tour. We will also create text groups to communicate with the group during the tour.

SUBSCRIBING TO RECEIVE EMAILS:
Guests must subscribe to receive emails from Anderson Travel and Tours, LLC using the link provided during registration to receive the Pre-Tour Email with the required forms and documents.

LEGAL COMPLIANCE NOTICE:
Anderson Travel and Tours, LLC operates under a private contract of carriage and therefore sets pre-conditions for boarding. Under the safety standards and duty-of-care requirements set forth by our insurance underwriters and tour safety regulations, Anderson Travel and Tours, LLC is required to maintain accurate emergency medical data for every passenger on board.

MEDICAL FORM Requirement to Travel: Completing a medical history and emergency contact form in full is a mandatory condition of travel. Failure or refusal to submit a complete form invalidates your boarding eligibility.

Companion Medical Disclosures Are Not Allowed: Travel companions may not relay verbal health disclosures or unsigned written disclosures that do not include Anderson Travel and Tours, LLC legal disclaimers to EMS. If travel companions are simultaneously incapacitated, in shock, or separated during a crisis, Anderson Travel and Tours is the legally authorized entity to relay medical information to EMS.

PRE-TOUR FORM COMPLETION COMPLIANCE:
Refusal to complete required pre-tour forms before departure, which include our disclaimers, safety, medical, and liability statements, constitutes a passenger-initiated cancellation subject to standard cancellation fees.

Travel Insurance and Medical Preparedness Risk Disclosure
TRAVEL INSURANCE and MEDICAL PREPAREDNESS RISK DISCLOSURE:

TRAVEL INSURANCE must be purchased at the time of booking to receive a refund after final payment.

PRE-EXISTING CONDITIONS: If you have pre-existing conditions or an injury, you must get written approval from your doctor stating that you are cleared to travel “prior” to booking and taking out travel insurance. Travel insurance must be purchased within 14 days of the date you write your deposit check for it to cover pre-existing conditions.

CLAIMS: All claims made by you through your travel insurance policy must be handled by you directly with the travel insurance company. Anderson Travel and Tours, LLC is not allowed to intervene in insurance claims or disputes.

RISK: Traveling may expose you to COVID-19, other viruses, allergens, contagions, bacteria, environmental hazards and the potential for injuries. By registering, you agree to travel at your own risk. Motion sickness is a possibility on tours. Guests must prepare ahead with medication, sick bags, etc.

RESPONSIBILITY: By registering for this tour, you understand and agree that Anderson Travel and Tours, LLC is not responsible for any sickness or injury you may acquire during the trip.

TRAVEL INSURANCE & REFUND POLICY: Travel insurance is strongly recommended for all passengers. Travel insurance is completely separate from standard private health insurance or medical evacuation memberships (such as Medjet), which generally do not cover tour cancellation costs, lost luggage, or trip interruptions. Anderson Travel and Tours, LLC offers zero refunds for any cancellations made after the final payment date, regardless of cause. This includes, but is not limited to: vehicle accidents or traffic delays en route to the tour pickup location, sudden illness, injury, hospitalization, family emergencies or death, job-related issues, or any other reason a passenger may need to cancel. Additionally, Anderson Travel and Tours, LLC is not liable for lost, stolen, or damaged luggage or personal property.
* Passengers who opt out of purchasing travel insurance assume ALL financial and personal risks associated with cancellation, lost belongings, or emergency interruptions.

EN-ROUTE MEDICAL CRISIS & HOSPITALIZATION: If a passenger experiences a medical emergency, health crisis, or hospitalization while on tour, Anderson Travel and Tours, LLC is contractually required by the tour operator and group schedules to proceed with the scheduled tour itinerary. Representatives from Anderson Travel and Tours, LLC cannot remain behind with any hospitalized passenger. All costs for emergency medical treatment, extended hotel stays, local transit, and return travel/transportation home are the passenger’s sole financial responsibility.

PASSENGER RESPONSIBILITY FOR MEDICAL SUPPLIES & PRESCRIPTIONS: Passengers are solely responsible for packing and maintaining an adequate supply of all necessary prescription medications, medical devices, and personal care hygiene supplies (including, but not limited to: insulin, specialized medical bags/supplies, mobility aids, and bladder control garments) for the entire duration of the tour.

TOUR SCHEDULE ADHERENCE & SEPARATION RISKS: To ensure the safety and schedule of the entire group, the tour motorcoach cannot alter its route, delay departures, or wait for passengers who leave the group to acquire forgotten medical supplies, medications, or personal items. If a passenger voluntarily or accidentally separates from the tour group to visit a pharmacy or store:

~ Any expenses incurred to catch up with the group or return home are the exclusive responsibility of the passenger.
~ The passenger is solely responsible for arranging and paying for their own transportation (e.g., rideshare apps, taxis) to rejoin the group.
~ The tour will not delay paid group attractions or scheduled departures for separated passengers.

Tour Operator/Travel Supplier and Travel Agency Terms
TRAVEL SUPPLIER TERMS

ERRORS and OMISSIONS
RESPONSIBILITIES
LIABILITIES, DAMAGES, DISPUTES

For the tours listed on this form:
Travel Agency: Anderson Travel and Tours, LLC
Tour Operator: Diamond Tours Inc.

Tour Operator/Supplier:
I understand that Anderson Travel and Tours, LLC is not the source or supplier of the tours listed on this form and acts solely as an agent for the Supplier. The Supplier of these tours is a tour operator: Diamond Tours, Inc. (13100 Westlinks Terrace, Suite No. 1, Fort Myers, FL 33913). Diamond Tours, Inc. manages all 3rd parties related to this tour (examples: motorcoach companies, hotel chains, attractions, restaurants, travel insurance companies, etc.) I understand that the Supplier “Diamond Tours, Inc.” is the entity responsible for providing the travel services purchased.

Liability Tour Operator / 3rd Parties:
I understand that Anderson Travel and Tours, LLC assumes no responsibility for and shall not be liable for any refund, personal injury, property damage or other loss, accident, delay, inconvenience or irregularity which may be caused by: (1) any defaults, modifications to itineraries, timing or attractions, and/or wrongful or negligent acts, errors or omissions of the Supplier (Diamond Tours, Inc.); (2) any defect in or failure of any vehicle, craft, equipment or instrumentality owned, operated or otherwise used, provided or managed by the Supplier (Diamond Tours, Inc.); and any wrongful or negligent acts or omissions on the part of the Supplier (Diamond Tours, Inc.) or any 3rd party not under the control of Anderson Travel and Tours, LLC.

Liability / Disputes / Refunds / Penalties:
I understand that Anderson Travel and Tours, LLC is not responsible for, nor will I attempt to hold Anderson Travel and Tours liable for any inconvenience, injury, damage or loss I may suffer on the account of any conditions, changes, actions, negligence, errors or omissions by Supplier (Diamond Tours, Inc.). I understand that any monetary or other disputes must be handled directly with the travel Supplier (Diamond Tours, Inc.). In the event any refunds are issued by the Supplier (Diamond Tours, Inc.), I understand and agree the amount will exclude any agent commission earned by Anderson Travel and Tours, LLC. I agree that this disclaimer includes the entire traveling party and that in the event of any further disputes; they may only be litigated in the state of Alabama, with a maximum penalty not to exceed the total earned by Anderson Travel and Tours, LLC in the original transaction.

Photos and Videos:
I understand that photos and video will be taken during the tour by Anderson Travel and Tours, LLC as well as by other passengers and that I may appear incidentally in these images. I hereby consent to Anderson Travel and Tours, LLC the use of my image, voice or likeness which may appear incidentally in any video and/or photograph of the tour for any and all purposes without compensation.

Alcohol-Tobacco-Drugs:
I understand that the use or consumption of alcohol, tobacco products, and recreational drugs is strictly prohibited on the tour and that Federal and State laws prohibit smoking on a motorcoach/bus. (this includes vaping)

Personal Injury-Loss-Errors-Omissions of 3rd Parties:
I understand that the Supplier/tour operator (Diamond Tours, Inc.) assumes no responsibility for and shall not be liable for any refund, personal injury, property damage or other loss, accident, delay, inconvenience or irregularity which may be caused by: (1) any defaults, modifications to itineraries, timing or attractions, and/or wrongful or negligent acts, errors or omissions by any company or employee contracted by them to provide services/goods (transportation companies, hotels, restaurants, attractions, etc.) which is out of their control. (2) any defect in or failure of any vehicle, craft, equipment or instrumentality owned, operated or otherwise used, provided or managed by any company or employee contracted by the Supplier/tour operator (Diamond Tours, Inc.) and any wrongful or negligent acts or omissions on the part of any company or employee contracted by the supplier (Diamond Tours, Inc.) to provide services/goods.

Changes-Modifications-Delays-Complications-Rules:
Anderson Travel and Tours, LLC and/or their representatives and the Supplier (Diamond Tours, Inc.) and/or their representatives are not responsible for any consular, political, or military complications created voluntarily or involuntarily by the passengers or any other person. The Supplier (Diamond Tours, Inc.) does not guarantee departure and arrival times, which may be delayed by any number of factors, including weather, traffic or road conditions, mechanical problems or any other cause or condition beyond their control. The Supplier (Diamond Tours, Inc.) and travel agency (Anderson Travel and Tours) both reserve the right, without refund of any portion of purchase price, to refuse admission to or eject any person whose conduct is disorderly, who uses vulgar or abusive language or fails to comply with the rules, terms and conditions applicable to passengers on the tour.

Modifications-Changes-Substitutions-Cancellations by Tour Operator:
The Supplier/tour operator (Diamond Tours, Inc.) reserves the right to modify, change, substitute or cancel any part of a tour, advertised schedule, attraction and/or route for any reason and may do so without prior notice or compensation. The Supplier/tour operator (Diamond Tours, Inc.) reserves the right to cancel any tour in the event that, due to reasons beyond the control of Diamond Tours Inc., the trip cannot take place. In such an event, monies received by Diamond Tours Inc. would be returned in full.

Responsibilities of Anderson Travel and Tours, LLC:
According to United States law, notwithstanding anything in this Agreement to the contrary, Anderson Travel and Tours, LLC (travel agency) shall be responsible in the following circumstances: (a) if the travel agency negligently fails to warn of a known danger made aware to them and not disclosed to you (the client). (b) the travel agency breaches duty to pay the supplier, resulting in cancellation

Revised Jan 1, 2026
Digital Signature:
By typing your name above, you consent and agree that your electronic signature is the legal equivalent of your manual/handwritten signature on paper. You agree to be legally bound by this agreement’s terms, conditions, and disclosures.

To complete this form for a 2nd guest, click the ADD+ button below BEFORE you click Submit and it will open a new form to complete for the 2nd guest on this same page.

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