Uganda Humanitarian Trip

Uganda Humanitarian Trip

Registration for Ugandan Humanitarian Trip with Moving Forward Nonprofit, 2026
Name

First Name(s) (as they appear on your passport)Last Name
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Trip Dates
What are you hoping to get out of this trip?
Emergency Contact Information

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
I, First NameLast Name , hereby agree to participate in the Uganda Humanitarian Trip organized by Moving Forward Nonprofit, and I hereby acknowledge that there are certain risks and dangers associated with this activity. I acknowledge that these risks include, but are not limited to, injury, illness, and death, as well as loss or damage to personal property. In consideration of being permitted to participate in this activity, I agree to assume full responsibility for any risks, injuries, or damages that I may sustain, or that my property may sustain, as a result of my participation in this activity. I agree to release, waive, discharge, and hold harmless Moving Forward Nonprofit, its officers, directors, employees, and agents, from any and all claims, damages, or liabilities that may arise out of or in connection with my participation in this activity. I further agree to indemnify and hold harmless Moving Forward Nonprofit, its officers, directors, employees, and agents, from any and all claims, damages, or liabilities that may arise out of or in connection with my participation in this activity, including but not limited to, claims made by third parties. I understand that this Liability Waiver and Release Agreement is a binding legal agreement, and I sign it voluntarily and with full knowledge of its contents. I acknowledge that I have read and fully understand the terms and conditions set forth in this agreement.
Date

MonthDayYear
Date
Signature

Clear

My Products

Deposit for Uganda Trip

Deposit for Uganda trip to save your spot. The remainder is due 60 days before departure.

$500.00 Quantity

Uganda Trip - paid in full

Full payment for Uganda trip to secure your spot.

$1,500.00 Quantity

Total

$0.00

Credit Card

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