Vine and Branches Ministries PR
Your safety is always our primary focus so that you can enjoy a successful Mission trip with Vine and Branches Ministries PR. Please read this form carefully before signing and returning to your group leader, as it is a legally binding contract. Each participant must sign a separate form, and a parent or guardian must sign for minors under 18 years of age.Assumption of RiskIn this agreement, the term “Activities” shall include all activities, events and service arranged, organized, conducted, sponsored, or authorized by Vine and Branches Ministries including but not limited to Ministry Time, Work Project times or Recreation time and other activities, events, and services in any way connected with or related to these activities.I acknowledge that I have read, understood and accepted the following points:I understand that there are risks associated with the activities that I will be undertaking with Vine and Branches Ministries PR and its agents, and host pastors and understand that it is not feasible to remove all risk from these activities. I understand and acknowledge that Vine and Branches Ministries PR cannot guarantee my safety, as all risks cannot be prevented. I agree to voluntarily assume the risks of the Activities, including but not limited to the possibility of death by physical injury or drowning, loss of limbs, broken bones, internal injuries, head injuries, cuts, bruises, sprains, insect bites, allergic reactions, and illness. Furthermore I assume the risk of being lost, exposure to extreme temperatures and extreme weather conditions, physical exertion, and the possibility of serious mental or emotional trauma as a result of any or all of the above inherent risks.I am aware that Vine and Branches Ministries, its employees, agents, volunteers will take all reasonable and practicable steps to manage these risks to an acceptable level. I also acknowledge that if I act contrary to, or outside of, the instructions and advice I have been given, I significantly increase my and in doing so will be personally responsible for any consequences. I am also responsible to ensure that my actions or inactions do not jeopardize the safety of others.It is my responsibility to inform Vine and Branches Ministries PR BEFORE the activity of any existing illness, injury, or allergy that I have that might affect my ability to undertake the activity or which might require treatment. Moreover, it is my responsibility to inform the staff of any extra help I may need either before or during the week.Participant understands that Vine and Branches Ministries PR’s first aid kits do not contain any drugs for internal use and that the Participant needs to disclose and bring these if they might need them. Additionally, if the Participant has the potential for severe allergic reactions to bee stings, insect bites, poison oak, sunburn, etc, it is their responsibility to inform the staff of the allergy in advance and to bring the proper medication on the activity.Participants assume any medical and emergency expenses in the event of an accident, illness or other incapability that results from participating in this mission trip.Release of LiabilityI do hereby, in consideration of my participation in Vine and Branches Ministries Pr mission trip, voluntarily elect to assume all risks of loss or damage to any property or any injury, including death, and hereby knowingly and freely release and agree to hold harmless and indemnify Vine and Branches Ministries PR, its directors and officers, employees, volunteers, agents, collaborators, and contractors, and any other personnel from any and all liability, claims, damages, demands or cause of action whatsoever by reason of any damage, loss, exposure, or injury or death arising out of my participation in the Vine and Branches Ministries PR mission trip and from any and all liability for an act or omission or negligence or strict liability in obtaining, rendering or failing to obtain first aid or any kind of emergency medical care. This release and waiver of liability shall be fully binding on the spouse, family, heirs, executors, administrators, successors, and assigns of the Participant.INITIAL_______Release for use of imageI do hereby grant permission to Vine and Branches Ministries to use photographs and videos of myself for any of its promotional materials (eg.,brochures, newsletters, website, social media sites, grant proposals, news media, etc.) without payment or any other consideration.INITIAL_______KNOWING AND VOLUNTARY EXECUTIONI HAVE CAREFULLY READ AND UNDERSTAND THE PROVISIONS AND LEGAL CONSEQUENCES OF THIS AGREEMENT, AND I HEREBY AGREE TO ALL OF ITS CONDITIONS. I CONFIRM THAT I HAVE READ AND UNDERSTAND THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST VINE AND BRANCHES MINISTRIES PR.I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. I agree that execution of a facsimile counterpart or electronic transmission of this agreement shall be deemed execution of the original agreement.I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect. I agree that execution of a facsimile counterpart or electronic transmission of this agreement shall be deemed execution of the original agreement.Any changes to this Waiver must be in writing and signed by both Parties.By signing below, I acknowledge that I have voluntarily and freely agreed to the terms of this agreement.Signature of Participant (18 years or older)__________________________________________Date__________________________________Signature of Parent or guardian if participant is under 18 years old.__________________________________________________________ Date___________Relationship to Participant__________________________________Full Name of Participant ________________________________________________________