Person to contact in case of emergency
Have you suffered any illness? If yes, please give details
Are you currently taking any medication for treatment of a medical condition? If yes, list name, dose and duration of the medication.
Note: This Sacred Walks is not advised for pregnant women and those suffering from chronic health problems like epilepsy, heart ailment, psychological problems and physical disabilities.
Declaration by the participant:
I hereby willingly undertake to attend this Tour for my well-being at my own risk and will not lay blame under any circumstances for any loss, damage or possible injuries to person or property. I further indemnify Dr Archika Foundation against all claims and suits and state that my legal heirs shall also not lay any claim against Dr Archika Foundation in this regard. Furthermore I state that I have undertaken a recent full medical examination and take full responsibility for my physical condition. I confirm that Dr Archika Foundation will bear no liability should any medical matter arise during this tour and that I shall be financially responsible for any consequential medical expenses.I confirm that all information provided is true and accurate and agree to it being shared with Dr Archika Foundation.