By submitting this form, I am certifying that I am:

1. over 18 (eighteen), and
2. either I am the Team Member, or
3. I am a parent or guardian of the Team Member.

In consideration of being allowed to participate in the trip to Country Dominican Republic Ghana Haiti India Kenya Latvia Russia (choose the team destination) sponsored by ASON International from through , (fill in team dates) and in consideration of the benefits to be derived there from, I hereby release ASON’s Trip Director, ASON International, Inc., and its present and former trustees, officers, directors, employees, agents and their heirs, administrators, executors, successors, and assigns from all claims and liabilities of any kind, whether known or unknown, which arise from or are connected in any way with my participation in the trip.

I recognize that the conditions in some of the places to which my child or I will travel are not of the same standard as the conditions to which I am accustomed. I realize further that there are certain health risks as well as other risks to my property and me, and I enter into participation in this trip with knowledge of those risks.

In the event of an emergency, I hereby authorize a leader of this activity, as an agent for me, to consent to: any x-ray examination; medical, dental or surgical diagnosis; treatments; hospital care advised and supervised by a physician, surgeon or dentist (as appropriate) licensed to practice under the laws of the state or country where services are rendered, either at a doctor’s office or in a hospital. I expect my family to be contacted as soon as possible.

I certify that I am of a lawful age and competent to sign this Release, and have done so voluntarily.

I understand that this document constitutes a full and complete waiver of all possible claims for any act or omission, including claims for negligence regarding injury or property damages, arising out of my participation on this trip.

I understand that this Release applies to, covers, and includes unknown, unforeseen, unanticipated, and unsuspected damages, losses, or liabilities and the consequences thereof, which result from the matters herein before inferred to as well as those now disclosed and known to exist. The provisions of any state, federal, local, or territorial law or statute providing in substance that release shall not extend to claims or damages which are unknown or unsuspected to exist at the time are hereby expressly waived by me.

Should any dispute or controversy arise, I agree to seek resolution according to Biblical principles through the Christian Conciliation Service.

By submitting this form, I am certifying that I have read, understand, and agree to the terms above.