Visitor Health & Safety Form

Note: Please allow 20-30 minutes to read and complete this form in its entirety. Before filling out this form, you will need to have purchased your international flights and your international health and evacuation insurance.

Contact Information

Emergency Contact Information

Travel Information

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Health Information

Participant Release and Waiver of Liability

Acknowledgement of Receipt of Visitor Guide

Cancellation Policy

To qualify for any refunds, we must receive notification in writing, by email to info@healthinharmony.org. Cancellation date is the date the notice is received by Health In Harmony.

Please note that any adjustments to the below percentages are up to the discretion of program staff, who will assess extenuating circumstances.

Individuals

Individuals are required to pay the balance in full at least 14 days prior to departure.

  • Cancellations received within 30 days of departure will be charged a 10% administrative fee over the total amount.
  • Cancellations received within 14 days of departure receive a refund of 75% of the total amount.
  • Cancellations made after this will receive a refund of 60% of the total amount.

Student groups

Student groups are required to pay a deposit fee of 50% at least 30 days prior to departure. Student groups are required to pay the remaining balance at least 14 days prior to departure.

  • Cancellations received within 30 days of departure receive a refund of 80% of the total amount.
  • Cancellations received within 14 days of departure receive a refund of 65% of the total amount.
  • Cancellations received within 7 days of departure receive a refund of 40% of the total amount.

Please check with Health In Harmony staff before submission to confirm your amount owed.

Visitor Code of Conduct

I will abide by the laws of the country I am visiting and will be respectful of the hosts and the partner organization.

I will participate or engage in the agreed-upon program schedule.

I will refrain from smoking and from using illegal drugs.

I will limit (or abstain from altogether) my alcohol intake so as not to impair my judgment and/or impact my ability to function as a responsible group member. I will never be visibly intoxicated.

I will adhere to the guidelines and cultural norms regarding dress, as outlined in the Visitor Guide.

I will treat program facilitators, ASRI staff, and community members with respect. I will not speak in a manner that is rude, offensive, or aggressive.

I will not be violent or participate in any violent act or activity.

I will not act in a way that will put myself or others in danger.

I will refrain from co-habitating with my partner if I am a member of an unmarried couple. I will also refrain from public displays of affection.

I will be flexible, as I understand that I am not in my home country/culture, and that not everything will go as I may want, or as according to plan.

I will be aware and respectful in the way I take photographs. I will seek permission, when possible, to take someone’s photo.