Mission
Programs
Get Involved
Contact
Donate
Back
About
Meet the Staff
Meet the Board
Blog
Back
Education
Ministry
Engaging & Empowering
Back
Ways to Partner
Mission Trips
Trip Forms
Child Sponsorship
Mission
About
Meet the Staff
Meet the Board
Blog
Programs
Education
Ministry
Engaging & Empowering
Get Involved
Ways to Partner
Mission Trips
Trip Forms
Child Sponsorship
Contact
Serving God, Changing Lives
Donate
MISSION TRIP RELEASE FORM
EMERGENCY RELEASE AND RIGHT OF REPRESENTATION
In consideration of my participation on this mission trip, I acknowledge and agree that:
I am prepared physically, emotionally, mentally and spiritually for this trip. The scheduling, environment, foreign country, and travel conditions are not adverse to me. I will be flexible and have a servant attitude.
I grant Faithful Servant Missions leaders or their contracted agents the right to represent me in decisions relating to my welfare during the trip. I will follow the suggestions made on my behalf.
I grant Faithful Servant Missions leaders or their contracted agents my permission to authorize medical treatment and medication on my behalf. I will not hold any of the Faithful Servant Missions leaders or their contracted agents responsible for the results of such treatment, medications, or decisions made on my behalf.
I am aware of the hazards and risks to myself and property associated with this mission trip. I have read the U.S. State Department's Travel Advisory (if any) for this country found at www.travel.state.gov/travel . These risks include but are not limited to death or injury by accident, diseases, viruses, terrorist acts, weather conditions, and inadequate medical services and supplies. I accept these conditions with full awareness and I assume all risks of death, injury, illness, terrorist assaults, and personal property loss or damage associated with such risks.
I attest that I am physically fit and have no medical conditions that would prevent me from performing my assigned duties which may include heavy lifting, high altitude, heat, and limited or infrequent meals. I am aware of the disease risks associated with foreign travel and I accept these risks.
I waive any and all claims for damages against Faithful Servant Missions, leaders, or their contracted agents arising from death, injury, illness, diseases, viruses, inconveniences, or property damage or loss occurring as a result of this mission trip.
I have read this release in its entirety, understand its contents, and agree to them of my own free will.
Name
*
First Name
Last Name
Parent/Guardian Name (if applicable)
First Name
Last Name
Signature
*
By typing your name below, you are electronically signing this document.
Today's Date
*
MM
DD
YYYY
Thank you!