Liability Release Form

Release of Liability

This is a legally-binding Liability Release, Waiver, Discharge, and Covenant "Not to Sue" made by me

__________________________ to Global Partnership Ministries/GraceWorks, Scott Kirby and GraceWorks Staff, volunteer staff, and the church/house where you are staying.

I fully recognize that there are dangers and risks to which I may be exposed by participating in this Christian Mission Trip. Risks may involve vehicle accidents, sickness and disease, injuries, aircraft crashes, terrorist attack, emotional disturbance, wild animals, criminal assault and other things.

I voluntarily take upon myself all the possible dangers and risks associated with this activity and travel. This release means that I am giving up any rights to sue Global Partnership Ministries/GraceWorks, Scott Kirby, the GraceWorks staff, volunteer staff and the church/house where I stay for injuries (including death), damages, or losses I may incur. I also understand that this Release binds my heirs, executors, and administrators as well as myself.

I have read this entire release, I fully understand it, and I agree to be legally bound by it.

_____________________________                               _______________

          Signature Date

(If participant is under 18 years old, both parents must sign below)

____________________________       ____________________________

Signature Date

GraceWorks Alaska is a 501(c)(3)

tax-exempt organization.

All donations are tax deductible

as allowed by law.

GraceWorks Alaska
4149 Checkmate Dr.
Anchorage, AK 99508

907-440-4974
gograceworks@aol.com