guest information (please fill in block letters - Maharashtra Tourism

E C O M A N T R A C A M P I N G & A D V E N T U R E A C T I V I T I E S
R E L E A S E & I N D E M N I T Y F O R M – P A G E 2
PLEASE ENSURE THAT ALL THE GUESTS SIGN THE INDEMNITY CLAUSE ON THIS FORM AFTER THEY HAVE CAREFULLY READ THE SAME. THEIR
SIGNAURE ON THIS FORM ABIDES THEM TO THE TERMS AND CONDITIONS, AND IS ABSOLUTELY REQUIRED FOR THEIR PARTICIPATION IN ANY
ADVENTURE ACTIVITIES, IN ABSENCE OF WHICH THEIR PARTICIPATION WILL BE DENIED. (………CONTINUE FROM PAGE 1)
SR.
NO.
9
NAME OF ECO TRAVELER
SEX
M / F
M / F
MOBILE / RESI
TELEPHONE NO.
EMAIL ID
ECO TRAVELER’S
SIGNATURE
10
M / F
11
M / F
12
M / F
13
M / F
14
M / F
15
M / F
16
M / F
17
M / F
18
M / F
19
M / F
20
M / F
21
M / F
22
M / F
23
M / F
24
M / F
25
M / F
26
M / F
27
M / F
28
M / F
29
M / F
30
M / F
31
M / F
32
M / F
33
M / F
34
M / F
35
M / F
36
M / F
37
M / F
38
M / F
39
M / F
40
M / F
ECOMANTRA ECO-CAMP APPLICATION, INFORMATION & INDEMNITY FORM PAGE 3 of 3