MISSION TRIPS RELEASE OF LIABILITY FORM

As a volunteer for Church of our Saviour (COOS), I hereby release COOS from any liability or responsibility for injury to me of any kind, including, but not limited to, bodily injury, emotional distress, or economic loss, that I may sustain as a result of, or otherwise occurring while I am acting as a volunteer participating in the mission trips and programme in the country or countries that I signed up to be involved in.

By this release, I intend that COOS will have no responsibility for any injuries to my person that occur during, or as the result of, my travel to or from my training or preparation location, while being trained or otherwise being prepared for my trip, as well as my actual travel within the country or countries.

I voluntarily assume any and all risks that I may be detained and/or incarcerated by the authorities of the country or countries where I travel while engaged in my volunteer duties on behalf of COOS. I agree to hold COOS harmless in all respects if that should occur.

Signature of Volunteer*

Date

Name as in Passport*

Email*

example@example.com

Is the applicant under 21? (If the applicant is under 21 years of age, the consent of a parent or a legal guardian is required)*

YesNo

Parent/Legal Guardian signature

Date*

Date

Name as in NRIC*

Parent/Legal Guardian

Relationship*

IMPORTANT: It is MANDATORY for all trippers to have a valid travel insurance plan for the mission trip that provides coverage for (1) COVID- 19, (2) Hospitalization/ Medical Expenses, and (3) Emergency Evacuation. Please provide us with the following information:

Travel Insurance*

Policy Number*

By signing this form, you agree that Church of Our Saviour may collect, use and disclose your personal data, as provided in this form, for the processing of this application with all relevant parties in accordance with the Personal Data Protection Act 2012