Cap Adventure

Insurance

Subscriber

Insured

Summary

Payment

Finish

How many people need to be insured ?

What are the date of birth for each traveler ?

What is your date of departure ( or start of cover date)?

What is your return date

What is your country of origin (your usual country of residence)?

What is your destination ?

World excluding USA-Canada

World including USA-Canada

USA/Canada : including Puerto Rico, USVI...

Which option do you choose ?

Individual

Couple (2 people: living together, civil union or marriage)

Family (from 3 people: parents and children)

I’m aware that this contract does not cover the consequences of illness or accidents prior to subscription.

Yes

I am aware that this contract is limited to a 24-month coverage starting from the date of departure from my country of residence.

Yes

If you have a code, enter it here

Chapka travel Insurance