The Episcopal Diocese of West Texas
Short Term Mission Trip Release Form
Trip Dates: May 15-22, 2020
The Episcopal Diocese of West Texas Release and Hold Harmless Agreement
Whereby, I, named in the above application, am about to travel with representatives of The Episcopal Diocese of West Texas, to any country in which The Episcopal Diocese of West Texas has or may be planning to have a ministry work, to tour and or work on projects in said countries, and whereas I am doing so entirely upon my own initiative, risk and responsibility, and in consideration of The Episcopal Diocese of West Texas accepting me as a constituent trip member and undertaking to arrange matters of transportation, lodging, food, and other travel details of permitting me to view, tour and/or work on Episcopal Diocese of West Texas projects, office and geographical areas in need of assistance, I hereby, for myself, my heirs, executors and assignees, release and forever discharge The Episcopal Diocese of West Texas and any of its affiliates, or subsidiaries, directors, employees, and volunteers, acting officially and otherwise and any person acting as a trip coordinator(s) on behalf of The Episcopal Diocese of West Texas, from any and all claims, demands, actions, or causes of action on account of my death, or any injury to me or my personal property, which may occur from any cause, including negligence of any type, during said trip.
Therefore, neither The Episcopal Diocese of West Texas, nor any of its affiliates or subsidiaries, directors, officers, agents, employees, or volunteers, shall be or become liable or responsible for any loss, injury or damage to person, property or otherwise in connection with, by the way of example but not by way of limitation, accommodations, transportation or other services, resulting directly or indirectly from acts of God, dangers, incident to the sea, air, land, fire, breakdown, misuses in machinery or equipment, acts of government or other authorities, de jure or de facto, wars, whether declared or not, hostilities, civil disturbances, strikes, riots, thefts, pilferage, epidemics, changes in itinerary or schedules or for any loss or damage resulting from insufficient or improperly issued passports, visas, or other documents or from delay, and that neither The Episcopal Diocese of West Texas, nor of its affiliates or subsidiaries, directors, officers, agents, employees, and volunteers shall be or become liable or responsible for any additional expenses or liability sustained or incurred by the tour member as a result of any of the foregoing causes or any unnamed cause.This Agreement shall be governed by the laws of the State of Texas.
By executing this agreement, I acknowledge that I have read and accepted all its terms and conditions.