Team Member Information & Release Form

Team Member Information & Release Form
Name (as shown on your passport)
Gender
Date of Birth
Passport Number
Trip Dates
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
Airport Code
T-shirt Size
Emergency Contact Name and Relationship
Emergency Contact Phone Number
Please enter a valid phone number.
Allergies or Medical Conditions
IMPORTANT NOTICE- Please read carefully!

Due to IRS regulations we cannot give refunds for any reason. By signing this form you are agreeing that you will not be refunded any money for any reason. You are also agreeing to pay the full trip price without exception once the airfares are purchased. If you are concerned that you may not be able to make your trip, you should purchase cancelation insurance.

I understand that this trip includes risks of personal injury and accept personal responsibility for these risks to myself. I release Get Strong Ministries, Inc. and all of their representatives from liability for any loss or injury that may occur in connection with this trip.

Get Strong Minsitries, Inc. is a 501(c)3 non-profit organization. All donations are tax deductible as allowed by the IRS regulations and are made with the understanding that Get Strong Minstries, Inc. has complete control and administration over the use of the donated funds. However, we strive to honor all preferences you may have as to how your donation is used.
Signature

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Today's Date

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Date
Signature of Parent or Guardian (if team member is a minor)

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