Travel Insurance Travel Insurance Waiver Name(Required) First Last Email(Required) Phone(Required)Trip Month / Year(Required) MM slash DD slash YYYY Destination(Required)Who is your primary Travel Advisor(Required)Stephanie SteinertBeth BuettnerRemarks (if any)Decline Insurance Coverage Waiver(Required) I decline Travel Insurance. I am not interested in Trip Cancellation/Protection and acknowledge that I have been offered but have chosen to decline this coverage. I fully understand the penalties that apply should I elect to cancel for any reason. You can purchase travel protection up to the day prior to departure, however you are not covered until 12:01 a.m. the day after purchased. Please note that in the case of hurricanes and tropical storms once a storm has been named/identified it is no longer considered an unforeseen circumstance.