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Waiver of Liability
The Undersigned, desiring to participate in the activities, programs, and ministries promoted and/or facilitated by or through CrossWire Inc., hereby agrees to assume any and all liability for the undersigned’s acts or missions in the course of the activity participated in by the undersigned, and further relieves CrossWire Inc., its officers, Board of Directors, agents, and any and all other persons associated with or operating through CrossWire Inc. of and from any and all liability for injuries occurring in the Continental United States or outside of the Continental United States, and agrees to indemnify and hold CrossWire Inc., its officers, Board of Directors, and agents harmless for any and all damages or injuries which may be caused by the undersigned in the course of participating in activities sponsored, promoted, or participated in by CrossWire Inc.. The undersigned understands that these waivers and releases herein cover each and every member of the undersigned’s family and that the undersigned’s agreement in these waivers and releases is a precondition to the undersigned’s participation in activities sponsored, promoted, or participated in by CrossWire Inc..
Date of missionary trip to Tecate, Mexico:
Thursday October 27, 2005 to Sunday October 30, 2005
Date: ___________________________________________
Signature:_______________________________________
Print Name:_____________________________________
Date of Birth:________________ Age:________________
If Minor under the age of 18 years of age please fill out the following:
I hereby give permission for ____________________________ to participate in the missions trip to
Tecate, Mexico organized by CrossWire from Thursday October 27, 2005 until Sunday October 30, 2005.
I give permission to ____________________________ or any of the CrossWire leaders to act on my
behalf concerning any medical emergency involving my child until I can be notified by reasonable
means.
Parent Signature:________________________
Print Name:____________________________
Date:_________________________________
Age:_________________________________