SHORT TERM TRIP APPLICATION


Participant Information

Marital status:

Is this your passport name?

Sex:

T-shirt size:

Emergency Medical Information

 

The information I have provided is true and complete to the best of my knowledge and I authorize Blessman International to verify the authenticity of my statements with the appropriate authorities. I understand that this mission trip could be highly physically and spiritually demanding, and I am physically capable of performing the actions necessary to participate. In the event that I am accepted to be a participant in this mission trip, I commit to fulfilling the requirements and submit myself under the authority of the trip leaders. I understand that Blessman International has taken efforts to ensure each team members’ safety on the mission field but also understand that unforeseen events could endanger team members beyond the control of Blessman International. I will not hold Blessman International liable for any accidents, injuries, or illnesses that occur on or due to a mission trip. I understand that at any time I feel uncomfortable with an activity in which the team is participating that I have the opportunity to decline my involvement. I authorize the trip leaders to seek emergency medical assistance for me as deemed necessary in the event of an emergency.

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Blessman International https://blessmaninternational.org
Signature Certificate
Document name: SHORT TERM TRIP APPLICATION
Unique Document ID: b4e1b0e722bd394547b5f27f0e677164e14c7160
Timestamp Audit
December 4, 2017 5:24 pm GMTSHORT TERM TRIP APPLICATION Uploaded by webdev BlessmanInternational - [email protected] IP 175.158.216.213