In consideration of being allowed to participate in the trip sponsored by World Servants, Inc., its partners and/or agents and in consideration of the benefits to be derived there from, I hereby release World Servants, Inc., its partners and/or agents and their present and former trustees, officers, directors, shareholders, employees, agents and their heirs, administrators, executors, successors, and assigns from all claims and liabilities of any kind, whether known or unknown, which arise from or are connected in any way with my participation or the participation of any member of my family including my spouse or minor child, in the trip.
I recognize that the conditions in some of the places to which I, my spouse, or my child will travel are not of the same standard as the conditions to which I am accustomed. I realize further that there are certain health risks as well as other risks to personnel and property, and I enter into participation in this trip and agree to the participation of my spouse or minor child with knowledge of those risks. If for any reason my child is unable to complete the planned stay on the mission trip, I assume full responsibility for expenses incurred for my child's return home.
I agree that World Servants, Inc., and my, my spouse’s and/or my child’s group may use and/or display the name, address and likeness of me, my spouse and/or my child without limitation for promotional purposes without further consideration. I authorize World Servants, Inc., and my, my spouse’s and my child’s group, their partners and/or agents, permission to use, copy, reproduce, display, distribute, publish, and exhibit any pictures, video or narrative my child takes during the trip which I my spouse and/or my child provides to any of them, and pictures, video or narrative in which I, my spouse and/or my child may be included, without restriction. This authorization includes any means of communication at any place for any lawful purpose. I waive any right I, my spouse and/or my child might have to inspect and/or approve the copy that may be used or the use to which it may be applied.
I certify that I am of lawful age and competent to sign this Release, and have done so voluntarily. I also certify that I am the lawful guardian of the minor identified on this student application.
In the event of an emergency, I hereby authorize a leader of this trip, as an agent for me or my spouse or my child to consent to: any x-ray examination; medical, dental or surgical diagnosis; treatments; hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state or country where services are rendered, either at a doctor's office or in a hospital. I expect my family to be contacted as soon as possible.
I understand that this document constitutes a full and complete waiver of all possible claims for any act or omission, including claims for negligence regarding injury or property damages, arising out of my participation in the trip.
I understand that this Release applies to, covers, and includes unknown, unforeseen, unanticipated, and unsuspected damages, losses, or liabilities and the consequences thereof, which result from the matters hereinbefore inferred to as well as those now disclosed and known to exist. The provisions of any state, federal, local, territorial law or statute providing in substance that releases shall not extend to claims or damages which are unknown or unsuspected to exist at the time are hereby expressly waived by me.
Should any dispute or controversy arise, I agree to seek resolution according to Biblical principles through a Christian reconciliation service (www.peacemaker.net).
