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Please Read the Following  Liability Form, Release Form, and Parental Authorization Form carefully, Click on to the links below


LIABILITY FORM


RELEASE FORM


PARENTAL AUTHORIZATION FORM

Print, Sign, and  Fax,  Mail,  or  E-Mail  the forms to:

FAX: (719) 495-7137  -OR-

          The Travel Connection

          443 E., Fountain Place

          Manitou Springs, Colorado  80829  -OR-

E-MAIL:  learningconnection@live.com   

If you have difficulty going to the links above, you may fill out the forms below

 Please print, and mail  the completed forms to:

 The Travel Connection
 443 E. Fountain Place
 Manitou Springs, CO  80829

LIABILITY FORM

 I understand that The Travel Connection (from here on referred to as: TTC)

will not be responsible for my actions during the time of my participation in any

TTC sponsored mission activity.

I further understand and agree that this release will remain in force for the entire

tenure of my membership with TTC and will be binding on all TTC sponsored

missions or activities and that this release shall remain in force until I revoke it in

writing.

I understand that this release shall be binding on my heirs, executors,

administrators or legal representatives.



Participant’s Name:___________________________________________________

Passport Number:_____________________________________________________

Parent/ guardian signature:________________________________________________

Date: ______________________

_______________________________________________________________



In addition, I assume responsibility for any injury or damage that is

caused to another party, in whole or in part, by my actions. I understand that TC

will not be responsible for my actions during the time of my participation in any

TTC sponsored mission activity.

I understand and agree that this release will remain in force for the entire

tenure of my membership with TTC and will be binding on all TTC sponsored

missions or activities and that this release shall remain in force until I revoke it in

writing.

I understand that this release shall be binding on my heirs, executors,

administrators or legal representatives.

Participant’s Name:_________________________________________________

Passport Number:__________________________________________________


Parent/ guardian signature:___________________________________________

Date:______________________

Address Mission Location

______________________________________________________________________

Phone/Email_________________________________________________________

In Case of Emergency, contact (in the U.S.):

___________________________________________________________________

Name

___________________________________________________________________

Address

___________________________________________________________________

Home Phone/ Cell Phone/ email:_________________________________________

___________________________________________________________________

PARENTAL AUTHORIZATION FORM  (If child is under 18-years old)

Travel Connection

Travel With A Purpose

Parental Authorization for International Travel

I,________________________________, authorize my daughter/son

____________________________ to travel to and from____(destination)__________ on

_____(dates)______under the supervision of the The Travel Connection staff.

I authorize The Travel Connection staff to provide medical care and/or arrange medical

care in the event of an emergency. I authorize The Travel Connection staff to act as

legal guardians when necessary.

Parent or legal guardian signature:

_________________________________________________________

Date________________

Notary:


 
RELEASE FORM

The Travel Connection Release Form for and in the consideration of my being

allowed to participate in the missions and other activities of The Travel Connection,

I acknowledge that my volunteer service may include some hazardous activities and

hereby assume all risks associated with them.

I hereby agree to waive all claims for damages, costs or charges of any kind against

The Travel Connection and against the officers, directors, and employees of The

Travel Connection for injury to my person or property, including death and

destruction, that may arise from my participation in any The Travel Connection

mission or activity and I release The Travel Connection and its officers, directors

and employees and agree to hold them harmless from any liability. I further agree

not to hold responsible The Travel Connection and to release The Travel

Connection and its officers, directors, and employees from any and all losses of any

kind that could result from acts of terror or kidnapping that may occur while

participating The Travel Connection or sponsored activities.

In addition, I assume responsibility for any injury or damage that is caused to

Another party, in whole or in part, by my actions. I understand that The Travel

Connection will not be responsible for my actions during the time of my

participation in The Travel Connection mission activity.

I understand and agree that this release will remain in force for the entire tenure of

my membership with The Travel Connection and will be binding on all The Travel

Connection sponsored missions or activities and that this release shall remain in

force until I revoke it in writing.

I understand that this release shall be binding on my heirs, executors,

Administrators or legal representatives. 

Participant's Signature:

Date:

Participant's Printed Name:

Email:

Phone Number:

Address:

City, State, Zip Code:

Mission Location:

Passport Number:

Emergency Contact Information (Name, Phone, Email









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