Original (please print clearly)

I ________________________________________

Passport No. ______________________________ Nationality _____________

Promise to work, as an independent researcher/contractor, in TUVA’s conservation and development projects in the Osa Peninsula, starting on ___________________ until _____________________ under the terms and conditions previously explained to me.

I have read and understood the terms, rates, conditions and what accommodation is offered. I assume total responsibility for my physical and medical health. The project or project staff do not accept any responsibility, whatsoever, for the health of volunteer while working on the project or in their chosen free time. All researchers must have personal health insurance to work with the project.

Insurance company ______________________________________

Policy #______________________

Home address and Phone:

Cancellations

Before departure Refund 85%

Within 2 day of arriving at project site Refund 50%

Within 7 days of arriving at project site Refund 25%

After 7 days No Refund

Signature :_______________________________________

R1