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I, the undersigned, declare to be aware that, during my presence and participation in the visiting and/or contracted activities within the Ranch known as Rancho la Fortaleza, LLC. (hereinafter “The Ranch”) located on Lopez Road, of the State of Texas, or any other related activity, activities that may expose and/or may occur that put both my physical integrity at risk, as well as that of the people who accompany me, and myself and their property and belongings, including but not limited to, poisonous snakes, insects and spiders; blinds and tree stands, whether or not erected by Lessor; erosion and general condition of the land, both on and off roadways or senderos, creating rough, hazardous and dangerous driving and walking conditions; animals both wild and domestic that may be diseased and/or potentially dangerous; deep water; persons with firearms both on or off the Ranch; and the use of vehicles; dangers with equipment of any kind that is part of the Ranch facilities, buildings, establishments, roads, gates or other improvements located thereon; it´s fauna and flora; the transit of all types of vehicles owned by the Ranch or any other visitor/participant, including recreational vehicles and machinery that occur inside, outside and near the facilities and the roads to reach or leave the Ranch; any type of accident that may occur due to the stay and/or visit, including with the animals they inhabit and firearms; as well as natural disasters and in general all kinds of events caused by man and nature. I am aware and have full knowledge of the danger that the activities described in this paragraph and others that may occur during the stay and/or visit or outside of it in direct relation to it. I declare that I freely agree to assume and accept as mine, totally and exclusively any and all risks, hazards, and responsability for any situation, both known and unknown, even if arising from the negligence of myself, the Ranch, or others.
Initials:
In consideration of the foregoing, in this act I freely agree that I, my heirs, successors and/or assigns will waive and release any right or claim that I may and will not make any claim, or institute any suit or action at law or any other type kind action that we could claim personally or through any representative, including in this waiver, but not limited to, exercising actions against him and/or the land owner’s and it’s respective heirs, it's officers, trustee's, agents, partners, shareholders, directors, associates, servants, employee's, guides and any other that was during the visit and / or provision of services, in relation to the Ranch, for accidents, bites, animal stings, insects and reptiles, blows, damages, injuries, death, suffering, moral damages, punitive damages and in general any inconvenience resulting from my participation in the visit. Due to the foregoing, from this moment it granted the most extensive settlement in favor of the Ranch, and the aforementioned third parties for any inconvenience, damages, suffered by me and/or the people who accompany me, and / or my goods and belongings due to my stay.
Initials:
I have read carefully and with determination this document and I fully understand its content and legal scope, which is valid and applies during the time that I am on the Ranch premises. I further convent and agree to disclaim all liability towards the Ranch, it´s owners, heirs, successors, representatives, agents, employees and any other related to them, as well as the organizers of the visit, of conditions of the Ranch premises or activities occurring thereon:
Initials:
I hereby further understand and agree to abide by all the rules, provisions and terms set forth by the Ranch and its owners and employees. It is understood that I will be in breach of these rules if I fail to follow those rules and terms set forth by the Ranch and its owners and employees. If further agree to abide by all state game laws as set forth by the Texas Parks & Wildlife Department. In addition to state game laws, I agree to abide by all local, state, and federal laws while on the Ranch premises. In the unlikely event, I further agree to forfeit any and all present and future claims to my presence and participation in the visitation and/or contracted activities in regard to the remaining term of my stay/visitation.
Initials:
WHEREAS, during my visit and/or contracted activities, I, including my heirs, successors and/or assigns, hereby release, protect, indemnify and hold harmless the Land Owner, heirs, successor, agents, Beneficiaries harmless from any and all claims or causes of action related to my use of or activities on the Property.
Initials:
Further, I agree that during my visit and / or provision of services, I expressly acknowledge and agree that this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Texas and that if any term or provision of the agreement, at any time, or to any extent, is determined to be invalid or unenforceable, it is agreed that the remaining provisions shall, notwithstanding, be deemed valid and continue in full force and effect.
Initials:
Binding Arbitration
If there is any claim or dispute regarding any section of this "Agreement", the Party making such claim or dispute shall make a good faith effort to settle the claim or dispute arising under this "Agreement". If the Parties fail to resolve the dispute or claim, the Parties shall submit to binding arbitration under the rules of the American Arbitration Association then in effect. Judgment, including court cost and attorneys fees, on arbitration awards may be entered by any court with appropriate jurisdiction. This agreement shall be binding upon each of the parties signing below and upon their respective heirs, executors, administrators, successors and assigns. VENUE: This agreement shall have Venue in Hidalgo County, Texas
Initials:
Photograph / Filming Consent
I authorize and give my consent and permission for photos and video to be taken, these images may appear on our website, social media, and email newsletters, in our printed materials produced for promotional purposes including leaflets, posters and adverts, in materials sent out to the media, or in reports. This form is valid for ten years. We will not use the photographs/film for any other purposes than those mentioned above. We will not include personal details (such as postal addres ses, or telephone number) on our website, printed materials, or other marketing/promotional materials. Copyright of photographs taken will remain with the Rancho la Fortaleza , LLC .
Initials:
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I HAVE READ THE FOREGOING AGREEMENT, AND FULLY AGREE TO THE TERMS HEREOF.
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Montserrat
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Nepal
Netherlands
New Caledonia
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Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
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Palau
Palestine (State of)
Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
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Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
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Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Sao Tome and Principe
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Serbia
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Sierra Leone
Singapore
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South Georgia and the South Sandwich Islands
South Sudan
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Tajikistan
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Thailand
Timor-Leste
Togo
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4.) Print Name:
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1937
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1935
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Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
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Ethiopia
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Faroe Islands
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Finland
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Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
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Greenland
Grenada
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Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
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Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
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Moldova (Republic of)
Monaco
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Nauru
Nepal
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New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
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Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
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Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
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Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
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United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
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Åland Islands
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5.) Print Name:
Date of Birth
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2003
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1991
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1969
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1964
1963
1962
1961
1960
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1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
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1935
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1933
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1928
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1925
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1923
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1920
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Check the box if the address is the same as the previous one; otherwise, fill in all fields
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Then Upload your school ID or photo if you are a minor
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Dirección
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
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6.) Print Name:
Date of Birth
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Select an age range
Adult
Minors
Relationship
if it’s Date
Check the box if the address is the same as the previous one; otherwise, fill in all fields
Same Address
UPLOAD YOUR ID
Drag & Drop Files,
Choose Files to Upload
Then Upload your school ID or photo if you are a minor
Drag & Drop Files,
Choose Files to Upload
You can upload up to 2 files.
Dirección
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
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FOR PARTICIPANTS OF MINORITY AGE
(UNDER AGE 18 AT THE TIME OF PARTICIPATION)
This is to certify that I, as parent/guardian with legal responsibility for this Participant, do consent and agree to his/her release as provided above all the Ranch, and for myself, my heirs, successors, and assigns, I release and agree to indemnify and hold harmless the Ranch from any and all liabilities incident to my minor child’s involvement or participation or visitation in these events and activities and/or the use of related real premises and personal property as provided above, even if arising from their negligence.
Printed Name of Parent/Guardian:
*
Phone Number:
Correo electrónico
*
2. Phone Number:
*
Dirección
*
Address Line 1
City
State / Province / Region
Postal Code
--- Select country ---
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
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