INSURANCE & LIABILITY WAIVER:

In consideration for being allowed to participate in activities sponsored by Grace Evangelical Church, I hereby release discharge, indemnify, and agree to hold harmless Grace Evangelical Church, its Elders, Staff, or other agents for any and all liability for personal injury, loss, illness, damage, or accident that I might encounter in association with their ministry including but not limited to mission trips sponsored or facilitated by Grace Evangelical Church.

I further agree to indemnify and hold harmless Grace Evangelical Church, its Elders, Staff, or other agents from any claim and/or damages it, or its agents are required to pay as a result of any injury or damage including reasonable attorney fees, litigation expenses and court fees.

I am volunteering to participate with Grace Evangelical Church freely and without undue influence. I further acknowledge and understand that my participation with Grace Evangelical Church, including traveling on a mission trip whether internationally and/or domestically, includes risks and possible dangers. I understand my participation also exposes me to such risks as accidents, disease, war, terrorist attacks, political unrest, kidnapping, injury and other calamities. Further I agree to hold blameless Grace Evangelical Church, its Elders, Staff, or other agents for any delay, cancellation or irregularity in schedules or travel plans.

I assume any such risks that might result in my participation with Grace Evangelical Church, including, but not limited to, travel on mission trips, and I unconditionally agree to hold Grace Evangelical Church, its Elders, Staff, or other agents blameless for any liability concerning my personal health and well-being, or any liability for my personal property that might be lost, damaged, or stolen, whether such property is traveling with me or remaining, while I am participating with Grace Evangelical Church, including, but not limited to, traveling domestically and/or internationally.

MEDICAL & EMERGENCY AUTHORIZATION:

All the medical information on this registration form is complete and correct. I, the undersigned, hereby authorize the staff of Grace Evangelical Church to act as my agent to consent to medical, surgical, or dental examination and/or treatment or care at any hospital.

In case of medical emergency Grace Evangelical Church or its agents are authorized to take such measures and arrange for such medical and / or hospital treatment as deemed advisable for my health and well-being. I accept all financial responsibilities concerning any medical emergencies. I release Grace Evangelical Church, its Elders, Staff, or other agents from claim or liability due to sickness or injury.

FOR INTERNATIONAL TRAVEL:

By signing this form, I also acknowledge that Grace Evangelical has advised me to see my doctor and get all necessary vaccinations and medications for diseases for which I am at risk during this trip as listed by the Centers for Disease Control and Prevention at www.cdc.gov. I am also aware that in order to have the most benefit, it may have been necessary to get certain vaccinations weeks or months in advance. I understand that it is my responsibility to share my travel plans with any doctors I am currently seeing for other medical reasons.

PARENTAL AGREEMENT:

I agree that my child could possibly be sent home at my expense for bringing, using, or having any of the following items: alcohol, tobacco products, fireworks, or any weapons. I also give the staff and leaders permission to send my child home at my expense for any behavior they feel is disruptive and/or inappropriate.

  By checking this box, you agree to be legally bound to the above terms & conditions.