Liability Release Form For Rodger Frievalt Ministries Victory Center Church (Page 3 of 3) in pdf

Liability Release Form For Rodger Frievalt Ministries Victory Center Church Page 3

INITIALS:__________

I AGREE THAT THESE PROMISES, AGREEMENTS, ASSUMPTIONS OF RISK AND RELEASES BIND ME, MY

FAMILY, ALL MINORS WITH ME OR WHOSE BEHALF I SIGN, AND MY HEIRS OR LEGAL REPRESENTATIVES

AND ASSIGNS.

INITIALS:__________

I HEREBY MAKE EACH OF THE ABOVE STATEMENTS, ACKNOWLEDGEMENTS, AUTHORIZATIONS,

RELEASES, DISCHARGES, HOLD HARMLESS AGREEMENTS, INDEMNITIES AND OTHER AGREEMENTS ON

BEHALF OF MY MINOR CHILDREN, ACCOMPANYING ME OR PARTICIPATING ALONE ON THIS TRIP WHOSE

NAME(S) APPEAR(S) BELOW, AND AGREE THAT THEY SHALL BE BINDING ON EACH MINOR CHILD, HIS

HEIRS, SUCCESSORS AND

ASSIGNS:

Name of minor child __________________________________________________________________

Signature:___________________________________Date:____________________________________

Print Name:__________________________________________________________________________

Full Address:_________________________________________________________________________

Emergency Contact:_______________________________Phone:______________________________

In consideration of my being permitted to participate as a RODGER FRIEVALT MINISTRIES and VICTORY

CENTER CHURCH Internship team member on the above ministry/mission trip: (Please initial each

paragraph)

I AM AWARE THAT I AM GIVING UP IMPORTANT LEGAL RIGHTS AND SIGN OF MY OWN FREE WILL.

Liability Release Form For Rodger Frievalt Ministries Victory Center Church Page 3