Renouncement to AirMedic

I, ________________________________________under-signed, renounce to become a member of AirMedic. I accept the eventuality of high cost beiing charged to myself if an accident or a health trouble would require my evacuation by an helicopter-ambulance. To be signed in the presence of the guide at my arrival.

Signature:____________________________________________witness:_______________________________________________date:

Parent if under 18 of age: