TRUTH Ministries- Release Form
I authorize the staff and representatives of Truth Evangelistic Ministry to render or obtain
emergency medical and/or dental treatment should any injury, harm or accident occur to me
(the participant) while participating in this mission trip.

I understand and agree that Truth Evangelistic Ministry representatives may not be held liable
in any way for any occurrence in connection with this mission trip that may result in injury,
harm or other damages to me (the participant) or physical property.

I understand the terms herein are contractual and are not mere recital and that I have signed
this document of my own free act and volition. I further state and acknowledge that I have fully
informed myself of the contents of this release by reading before I have signed it.

It is further warranted that if this release form is signed by one of two parents or guardians (if
participant is under 18 years of age), it is with the authority of the other.

Health and safety conditions are often primitive and unpredictable in third-world countries. I
understand the potential risks and danger and willingly assume that risk, and hold harmless
Truth Evangelistic Ministry.

Email address
Name
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Trip Dates
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Please check the COMPLETED box to indicate that you have read the above release information.
By typing your name below you are adhering to the written release information above. Please state your complete name.
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Parent/ Legal guardian signature if participate is a minor (By typing your name below you are adhering to the written release above. Please state your complete name)
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