List Any Overseas Experiences You Have Had:
What are you expectations of this trip.
Please List Your Top Three Skills that could be useful in Haiti.
List Any Allergies, Physical Limitations, Or Restrictions, Including Chronic Diseases:
I agree to assume all normal and foreseeable risks associated with travel to, from and within the Country (including but not limited to natural disasters, terrorism, political unrest, and contraction of illness) and releases Company and its affiliates from any responsibility for such risks.
I acknowledge that the carriers, hotels and other suppliers (the “suppliers”) providing services in connection with the missions trip are independent contractors and are not agents, employees or representatives of, or joint venturers with, the Company or its affiliates and releases Company and its affiliates from any responsibility for the actions or omissions of such suppliers.
I agree that the Company shall have no liability for any personal injury, property damage or other loss, accident, delay, inconvenience, or irregularity which may be caused by (a) any wrongful, negligent or unauthorized acts or omissions on the part of any of the suppliers or their agents, (b) any defect in or failure of any vehicle, equipment or instrument owned, operated or otherwise used by any supplier, or (c) any wrongful or negligent acts or omissions on the part of any other party not under the control of the Company
I, acknowledge that he/she has been informed that United States citizens traveling outside of the United States are required to carry documentation of United States citizenship, which may include a valid passport or notarized copy of the citizen’s birth certificate with a raised seal, and a valid picture I.D. (such as a driver’s license).