(Please Print) SERV International Liability Release Form – Release of all Claims In consideration for being accepted by SERV International for participation in short-term mission trips, I do hereby release, forever discharge and agree to hold harmless SERV International and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the above described trip or activity. Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. Further, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this participant. The undersigned further hereby agree to hold harmless and indemnify said ministry, its directors, employees and agents, for any liability sustained by said ministry as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto. (If the participant has not attained the age of 18 We (I) are the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for him/her to participate fully in said trip, and hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs. (Type or print name of participant) (Signature of Participant) (Date) (Only participant need sign if 18 years of age or older. If under 18, both parents must sign unless parents are separated or divorced in which case the custodial parent must sign.) (Father) (Mother) (Legal Guardian) (Parent/Guardian Telephone)
(Please Print) SERV International – Liability Release Form Release of all Claims In consideration for being accepted by SERV International for participation in short-term mission trips, I do hereby release, forever discharge and agree to hold harmless SERV International and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the above described trip or activity. Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein. Further, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this participant. The undersigned further hereby agree to hold harmless and indemnify said ministry, its directors, employees and agents, for any liability sustained by said ministry as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto. (If the participant has not attained the age of 18 We (I) are the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for him/her to participate fully in said trip, and hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any. Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs. (Type or print name of participant) (Signature of Participant) (Date) (Only participant need sign if 18 years of age or older. If under 18, both parents must sign unless parents are separated or divorced in which case the custodial parent must sign.) (Father) (Mother) (Legal Guardian) (Parent/Guardian Telephone)
e04f95a90a624166b6f88bbff8798df5-release-forms.docx