Fill and Sign the Release Regarding Mission Trip Form

RELEASE The undersigned student desires to participate in the Spring Break Mission Trip ( A Mission activities @ ) to be held in and around ____________________, ____________, from the ___day of ____________, to the ____day of ____________ In consideration of being allowed to participate in said Mission activities at said locations, the undersigned does hereby release and discharge ____________________ and____________________, and all their officers, faculty members, staff, trustees, and employees from any and all claims for damages for personal injury, death, or property damage which I may have, or which may subsequently accrue to me as a result of my participation in said Mission activities and as a result of my travel to, from, and during said Mission activities. This release is intended to discharge in advance __________________ and__________________ and all persons described above from and against any and all liability arising out of or connected in any way with my participation in said Mission activities, and I hereby agree to assume all risks associated with said Mission activities and to release and hold harmless __________________ and ___________________ and all persons mentioned above who might otherwise be liable to me (or my heirs) for damages. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. WITNESS my signature, this the day of , ____________. Print name:____________________________________ (Parent must sign if under 18) Signature: _____________________________________