Release Form

Explanation of Release Form:
Before we leave the church for the Aspen Tree viewing trip, we (each adult, and a parent for each child) needs to sign a “release of liability” statement (and bring it to the event) that says that the person(s) signing will not hold the churches or the organizations making the trip (or event) possible to be liable in case of any kind of accident. Obviously, we are not planning to have an accident of any kind, or a car wreck, but without releasing all the groups involved, the insurance rates for the churches and organizations (including InterFACE) would be so high that we would have to charge a huge price per person in order to make events possible. Signing the “liability waver does not mean that you can not use your own medical insurance in case of injury, just that you will not expect any church, organization or any of their representatives to pay for the injuries. See release form below.

In addition to bringing your release form and giving it to the trip organizer on the day of the event, (please do not e-mail it) we also need every person who is 18 years of age or older to bring some form of picture identification so we can verify that each person's name and signature matches the information on the release form (is it no wonder that lawyers in the U.S. today are so wealthy)? Thanks so much for your cooperation with this matter.

Please feel free to contact us about any questions you have at 303-279-0165 or Terry-Trudy@comcast.net

Thanks for your cooperation and time,

Terry and Trudy


RELEASE FORM and AUTHORIZATION

(Please print and complete prior to the day of the event)


I, (We) ____________________________________________________
Please print the full name of each family member signing and the names of your children attending with you
as a participant(s) in the _________________________________________________
Please print the name of the event you are attending and the date for which it is scheduled
understand that there are inherent risks involved in my/our participation in traveling to, and taking part in any and all of the activities involved, and therefore release InterFACE Ministries, Inc. and all participating local churches and individuals from all liability for any and all injuries to me personally (including death) as well as to my minor children (if applicable) and to my property, irregardless of whether any loss resulted from negligence prior to leaving or during the entire time of the event, or when unloading upon return.

Signed _____________________________________ Date _____________________



Address_________________________________________________________________

I also authorize Terry or Trudy Thomson (trip leaders) to act on my behalf to make any medical decisions on my /our behalf if I / We are unable to do so. Further, they may act on My/ Our behalf without any liability until my legal representative can be reached.

Signed ___________________________________________ Date______________

Name of person to contact in case of emergency:

_______________________________________

Their address:

_____________________________________________________________
House or apartment # City State Country Zip Code


Their phone #: _____________________________________________________

Does the person listed above have the legal power to make medical decisions for you if you are incapacitated? __________
Yes or No


Furthermore, I state that I have thoroughly read the above statements and understand their meaning and content. _____________________________
Initials of each person (s) signing this form.