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Participant Liability Release Form
Puerto Rico Medical Mission
Thank you for wanting to serve!
  • Furthermore, the undersigned hereby assume all risk of personal injury, sickness, death, damage and expense arising from the undersigned's participation in all activities, including recreation and work activities involved in the above activity.  In addition, authorization and permission is hereby given to furnish all necessary transportation, food, and lodging for the undersigned.
  • I also give my permission for use of any photos taken in the course of the program for its future publicity. I understand my name will not be used.
  • If participant is under 18 years of age: We (I) are the parent(s) or legal guardian(s) of the participant, and hereby grant permission for  to participate fully in the above activity and all of its undertakings, and one or both of us will go with the minor in the trip. We also assume all the responsibilities and the hold harmless agreement as stated above for our child.
  • The participant will be notified ahead of time of the schedule and activities on the mission and it will be responsible to participate in some or all of them. However If the participant leaves the mission group at any time day or night, the participant will be taken extra and unnecessary risks not contemplated in the original plan and that behavior is not recommended and it will be considered disruptive for the well being of the mission group.
  • If the participant wants to arrive in Puerto Rico earlier or stay longer after the mission for tourism or other reasons, the participant is responsible to make his own travel arrangements and the participant will be responsible for his own security, expenses and risks taken.
  • The mission is a Medical Mission and its purpose is to serve a humanitarian effort in Puerto Rico. The mission welcomes people with different religious beliefs that want to share the spirit of service to the poor.
  • Furthermore, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I (we) assume all responsibility and transportation costs. 

If participant is under 18, both parents (or custodial parent), or legal guardian must sign. 

SIGN THE FORM TO THE RIGHT