This Risk Statement is to advise you as a participant about the potential risks involved in working other cultures. Your signature certifies that you take full responsibility for the consequences as you assumes these risks. Risks can include hazards to both your person and property through cross-cultural offenses, accident, disease, criminal, terrorist acts, natural disasters or inadequate medical services and supplies. There can be added emotional and physical stress due to loneliness, culture stress, travel difficulties, and long hours. We realize that it is not possible for us to predict, or fully prepare you for every circumstance you will face. However, it is our goal to advise all members of SCC and all participants in SCC missions of the assumed risks associated with mission work in a foreign country and SCC’s policies, through this Risk Statement. We ask that you gather as much information as you feel necessary and, when you are completely satisfied and confident that participating in a short-term mission trip is what God wants you to do, read this form; if you agree, sign and return the application form. Keep a copy for your records.
Stonebriar Community Church will not assign any member or participant to a particular ministry or area against their will. This means the final choice of ministry and area of service rests ultimately with you. Leadership may, in fellowship with you, give direction in areas of need and availability of programs but the final decision on service or participation in a program rests with you. Should you feel at any time that your area of service is no longer appropriate, you have full right to end your service and return to your passport country at your own cost and risk.
In the event of an emergency that requires medical services while on the field, all reasonable efforts will be made to guide you to the appropriate care. If an evacuation is needed for more specialized care than is available in the designated area of ministry, that will be coordinated with and under the direction of the medical/evacuation insurance provider that is required for your participation in the SCC missions trip. You are required to adhere to the list of immunizations and vaccinations suggested before you travel to the country of ministry. Those lists can be found at https://wwwnc.cdc.gov/travel.
Special Note: In view of the fact that many insurgent, guerrilla, and criminal groups commit crimes of kidnapping or other forms of criminal extortion as a means for demanding the payment of ransom, it is important that you understand SCC’s policy in this area. We are deeply concerned for the well being of each of our members, and will pray and labor diligently for the release of any member taken hostage. However, it is the policy that “SCC opposes the payment of ransom in any form, cash, commodities, or services.” Therefore, members and participants in SCC missions should not assume that ransom will be paid for their release. SCC requires that, as part of the post-crisis de-briefing, all members who were held hostage be interviewed by a counselor.
LIABILITY WAIVER & RELEASE
In consideration of being allowed to participate in the trip sponsored by SCC, its partners and/or agents and in consideration of the benefits to be derived there from, I hereby release SCC, its partners and/or agents and their present and former elders and employees, and their heirs, from all claims and liabilities of any kind, whether known or unknown, which arise from or are connected in any way with my participation or the participation of any member of my family including my spouse or minor child, in the SCC sponsored mission trip. I recognize that the conditions in some of the places to which I, my spouse, or my child 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 person and property, and I enter into participation in this trip and agree to the participation of my spouse or minor child with knowledge of those risks. If for any reason I am unable to complete the planned stay on the mission trip, I assume full responsibility for expenses incurred for my return home.
In the event of an emergency, I hereby authorize a leader of this trip, as an agent for me, my spouse or my child to consent to: any x-ray examination; medical, dental or surgical diagnosis; anesthesia; treatments; hospital care advised and supervised by a physician, surgeon or dentist (as appropriate). I expect my family to be contacted as soon as possible. This is only for emergency situations should the individual be incapable of making rational decisions, or is a minor whose parents cannot be immediately reached. In any situation, every effort will be made immediately to reach the contact person listed on the application.
I agree that SCC, and my group may use and/or display my name and likeness without limitation for promotional purposes without further consideration. I authorize SCC, and my group, their partners and/or agents, permission to use, copy, reproduce, display, distribute, publish, and exhibit any pictures, video or narrative I take during the trip which I provide to any of them, and pictures, video or narrative in which I may be included, without restriction. This authorization includes any means of communication at any place for any lawful purpose. I waive any right I might have to inspect and/or approve the copy that may be used or the use to which it may be applied.
I certify that I am of 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, either while on the trip or upon my return, for any act or omission, including claims for negligence regarding injury, illness or property damages, arising out of my participation in the 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.
We count it a real privilege to assist you in your desire to participate in reaching people with the Gospel of our Lord Jesus Christ.