Liability Release Form For Rodger Frievalt Ministries Victory Center Church printable pdf download

LIABILITY RELEASE FORM

For Rodger Frievalt Ministries

Victory Center Church

WARNING: THIS IS A COMPLETE RELEASE OF POTENTIAL CLAIMS

In consideration of my acceptance by Rodger Frievalt Ministries and Victory Center Church for

participation on mission trip to (list location) ______________________________________ dated

____________________ through ___________________ I make the representations and undertakings

set out below:

 I am 18 years of age or older or will have notarized parental consent form signed by both of my

parents.

 I am in good health and have received or will receive all vaccinations recommended by my

county or state health department for travel in the countries or areas to be visited on this trip.

 I know that international travel involves danger and risk. I acknowledge that the dangers and

risks include, but are not limited to, the hazards of travel by air, boat, raft, jeep, automobile,

bus, taxi, bicycle and on foot; travel in foreign countries, in jungles, mountains, high altitudes,

steep terrain; travel and/or attendance at meetings among possibly unfriendly persons; sickness

or injury in areas where medical assistance may be primitive or inadequate, unavailable or not

readily available, and/or where rapid evacuation is not available; or where there is exposure to

crime, to civil unrest and to forces of nature or other dangers. I understand that the above and

other possibilities are risks in ministry trip travel.

 I know that Rodger Frievalt Ministries and Victory Center Church do not accept any

responsibility for injury, illness or loss suffered by me, and that all medical or personal expenses

in connection with or made necessary by my illness or injury on this trip are my own

responsibility. I know that Rodger Frievalt Ministries and Victory Center Church do not have

insurance policies related to this trip, other than secondary general liability travel insurance

which I may be required to purchase.

 I know that Rodger Frievalt Ministries and Victory Center Church do not carry any insurance

other than that stated above, and I acknowledge that Rodger Frievalt Ministries and Victory

Center Church have advised me that Rodger Frievalt Ministries and Victory Center Church does

not accept any responsibility for any injury, loss or damage not covered by the above-mentioned

insurance. I further acknowledge that Rodger Frievalt Ministries and Victory Center Church have

recommended that I carry or obtain primary medical insurance to cover possible medical needs

including evacuation occurring during this trip and that Rodger Frievalt Ministries and Victory

Center Church recommended that I obtain travel insurance covering personal injury, trip delay,

change or cancellation, loss of or damage to baggage, and other standard risk coverage for this

trip.

Liability Release Form For Rodger Frievalt Ministries Victory Center Church