REGISTRATION FORM

(You can EMAILthis form back to us, orsend by regular Mail)

EMAIL:

PHONE: 514 369–0631

MAILING ADDRESS:

5887 Centennial Ave. Suite 75, Montreal, QC H4W 1T2

*Nameoftrip: ______

Full Name:(As it appears on your passport):______

______

Birth Date: (D) ______(M)______(Y)______

[ ] Male [ ] Female

Address: ______

______

City/State or Province

______

Zip/Postal Code:

______

E-Mail:______

Phone: H______W______C______

Passport Number______

Date of Issue______Expiry Date______

Place of Issue______

CRUISE ACCOMMODATIONS: (If applicable)

[ ] Interior [ ] Ocean View [ ] Balcony

ROOM OCCUPANCY:

[ ] Single Occupancy– With supplement

[ ] Double Occupancy

Roommate Request ______

*Roommate Matching Available Upon Request*

[ ] I am interested in additional nights pre-trip and/or post-trip

Dates: IN______OUT______

Do you have any food allergies or medical conditions of which we should be aware?

______

PAYMENT:

[ ] I am mailing a check for $______Double occupancy or $______Single occupancy

(Please make check payable to MARCIERUBENSTEIN)

[ ] I prefer to pay by credit card (a 5% surchage will apply)

How did you hear about JWings and/or this trip?

______

I have read, I understand and I agree to respect and comply with the Waiver Policy, Cancellation and Penalty Policy and the Terms and Conditions Policy, as communicated by JWings in writing below, on our website and contained in any and all other promotional materials or publications:

Signature: (electronic signature is permitted)

X______

Date: _____/______/_____

FOR ADDITIONAL INFORMATION, PLEASE CONTACT:

Phone:Marcie (514) 369-0631

E-mail:

Mail: 5887 Centennial Ave, Suite 75, Montreal, QC, H4W 1T2, Canada

Waiver of Responsibility

By signing the trip reservation form, you agree to the following conditions, terms, restrictions and stipulations and information: JWings (JWings),is a ‘not-for-profit’ travel group. We operate as an independent travel coordinator and trip organizer. We offer services, products, packages, accommodations, meals, entertainment and all other travel-related arrangements sold by, but not limited to the following;Corporations, companies, tour operators, trip consolidators, groups, organizations, agents and all other service suppliers, who are providing any and all services, activities, excursions, meals and entertainment for the trips which we are offering independently or in partnership with, but not limited to; another company, business, corporation, group, agency or organization. These include but are not limited to; airlines, hotels, restaurants, cruise lines, bus lines, boat lines and train lines, tour operators and companies which provide excursions, tours, services, facilities, activities and entertainment. Henceforth, all of the above will be referred to as ‘Service Providers’.JWings will not assume any responsibilityfor the following, which include but are not limited to; personal and property loss, damage, harm and injury, trip activities and excursion delays, cancellations, accidents andsubstitutions, whether they occur before, during or after the trip. We do not guarantee the quality and quantity of any service, accommodation facility, activity and transportation. We are not responsible for health and weather conditions and national disasters, any illegal acts, theft, robbery, political instability, terrorism, civil disturbances and labour unrests and all other acts, risks, problems, inconveniences and circumstances, whether unforeseen or predicted. It is your responsibility to check all conditions, risks, warnings and alerts prior to traveling. It is also your responsibilityto check and verify all travel documents, passport and visa requirements of the destinations, prior to travel. Please note that many countries require a visa prior to entry. They may also require that your passport has an expiry date 6 months following the end date of your travel. For Canadian residents, citizens and anyone eligible to hold a Canadian passport, please note that the United States of America now requires a valid passport for entry by air, land and sea. Please note all new and updated security delays, rules, regulations, policies and procedures from your points of departure and arrival and any countries which you may be traveling through. For additional information, you can contact the foreign affairs or other related department of the country with which you hold a passport and the individual country’s embassy, consulate or representative in your city and country, or the governmental department which is responsible for visitors and travel in the countries which you will be visiting and traveling to, in and through. It is also your responsibility to check with the airlines and other transport companies for baggage restrictions, limitations and allowable equipment, supplies and objects, foods and beverages and everything else which you transport with you, on your person, or in your luggage, or will be shipped prior to of following your travel. JWings reserves the right to modify and change any all parts of the trip and travel itinerary, without notice and at additional cost to you. We reserve the right to cancel the trip or any or all components of the trip, at any time prior to the date of departure. It is your responsibility to ensure that you have appropriate travel insurance, including full medical coverage, trip cancellation and interruption, baggage loss and damage and any and all other travel insurance coverage. While you are on the trip, photographs and videos may be taken of you, or which include you. We have the right to use these photographs and videos on our website, Facebook© groups, profiles and pages and on any and all other websites, publications and marketing materials produced by or for JWings.

Cancellation Policy and Penalty(s)

Unless otherwise indicated, the cancellation policy and or penalties for any and all JWings trips, tours and activities are as follows: 15 days after Trip Registration Deadline: Full reimbursement less a $150.USD administration fee. 90 days before the start of travel: You forfeit 25% of the total cost and fees. 90-60 days before the start of travel: You forfeit 50% of the total cost and fees. 60-45 days before the start of travel: You forfeit 75% of the total cost and fees. 45-0 days before the start of travel: You forfeit 100% of the total cost and fees.

Terms and Conditions Policy and Waiver

Air: Airfare and Airport transfers are not included in the trip price, unless otherwise indicated. You are responsible for ensuring that your travel arrangements to and from the designated point of departure and arrival, coincide with and respect all trip departures and returns, as well as the official start of the trip. We are not responsible for missed activities, events, meals, transportation and travel, if you are delayed arriving or departing at the designated point, for any reasons. For travel arrangements and information, you can contact JWings.

Roommate Matching: We will make all efforts to match you with a roommate, if one is requested. In the event of roommate matching by JWings, your cabin/room will be designated as non-smoking.

Changes and Substitutions: All our travel suppliers, tour operators, companies, consolidators, air, bus, train and cruise lines, etc reserve the right to modify, substitute and change any or all parts of the itinerary at any time. All conditions are subject to change, modification or substitution without notice.Once you have paid a deposit, or in full for the trip, you agree to all outlined terms and conditions.

Travel Insurance:Comprehensive medical, baggage and trip cancellation and interruption insurance is highly recommended. “Don’t leave home without it...”!

Pricing:Rates are subject to change, based on availability. Taxes are subject to increases, as per local and state government decree. Fuel Surcharges may be added if fuel prices rise.

Optional Activities, Excursions and Tours: Excursions, tours and other activities, entertainment and meals offered by cruise lines, hotels and/or deemed as Optional by JWings, are not included in the tour price.

Not included in tour price: Airfare, food and beverages, activities, tips and gratuities and facilities which are not specified in the tour package and/or have a supplemental charge, laundry services, telephone calls, room service, all alcoholic beverages, soft drinks and bottled water purchased at meals (unless specified as included in the Trip Package).

Liability Waiver:JWings and all owners, employees and associates cannot be held liable for; any and all delays, irregularity, inconvenience, negligence, breach of contract and duty of care, accidents, injury, illness, disability, personal harm and trauma or death experienced before, during or after the trip and all related activities, facilities, weather conditions and transportation and travel service. All penalties, additional expenses and cancellations, due to a failure to check-in, board or re-board, within the advised time period, trip cancellation or interruption by the passenger, penalties, additional expenses and forfeits resulting from negligence and/or a failure to comply with all rules and regulations as stipulatedby JWIngs and/or the trip operator or supplier, is the sole responsibility of the customer. JWings is not responsible for lost, damaged and stolen items. The passenger is aware of all the risks, dangers and hazards associated with this trip. The passenger is advised to purchase complete travel and medical insurance, including baggage damage and loss, theft, personal liability and trip cancellation and interruption, prior to departure. All arrangements, prices, taxes and fees, itineraries, activities are subject to change without notice.

Payment: Payment can be made by credit card (link is on the Registration Page).

A 5% supplemental charge will apply to all credit card payments.

If you prefer to pay by personal check, please make it payable in US funds to:MARCIE RUBENSTEIN

Mailing Address;

Marcie Rubenstein

5887 Centennial Ave. Suite 75,

Montreal, Quebec, H4W 1T2