All pilgrims participating on a Verso Ministries pilgrimage are required to either complete the "Waiver, Release, and Indemnification Agreement" or “Release of Liability and Permission for Minors to Travel” forms below. The “Waiver, Release and Indemnification Agreement” is to be completed by all adults (aged 18 years old or older on the day of departure) and any minors traveling with at least one parent/guardian on the pilgrimage. The “Release of Liability and Permission for Minors to Travel” is to be completed by all unaccompanied minors (aged 17 years old or younger on the day of departure) who are traveling without a parent/guardian on the trip


WAIVER, RELEASE AND
INDEMNIFICATION AGREEMENT

 

I am a participant on a Verso Ministries, LLC (“Verso Ministries”) Pilgrimage.

I understand and acknowledge I am not required to participate in the Pilgrimage; my participation is wholly voluntary.  I understand that the Pilgrimage will include travel to and around locations which may involve risk or danger, including but not limited to vehicular accidents, uneven terrain, poorly-maintained steps or walkways, crumbling or falling rock, slip and fall, disease, food poisoning, extreme weather conditions, fire, or third-party criminal or negligent acts such as theft, abuse or violent attack.  I understand that such risks could cause me serious personal injury, including death, or damage to my personal property. In consideration of being allowed to participate in the Pilgrimage, I hereby agree as follows:

 

  1. I voluntarily elect to accept and solely assume all risk of injury or damage to my person or property incurred or suffered by me while participating in the Pilgrimage, even if the injuries or damages are caused in whole or in part by the negligent act or omission of Verso Ministries or any of the other persons or entities hereby released.

  2. I, individually, and on behalf of my family, my heirs, successors, assigns and personal representatives, hereby release, discharge, agree not to sue, and agree to indemnify and hold harmless Verso Ministries and its employees, agents, officers, and representatives (in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses or injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys’ fees, which arise out of, result from, occur during or are connected in any manner with my participation in the Pilgrimage, any related or independent travel, any activities or side trips (e.g., individual tours) irrespective of whether they are sponsored, supervised, selected, or controlled by Verso Ministries in any manner.

  3. I understand and agree that photographs or video of me during the pilgrimage may be taken by the Verso Ministries or its employee or agents or representatives. I agree that photographs or video taken of me during the pilgrimage may be used for commercial purposes by Verso Ministries without royalties or prior consent.

  4. I agree that this Agreement is to be construed under the laws of the State of Indiana, U.S.A.; and I hereby consent, irrevocably, to the exclusive jurisdiction and venue of the State courts located in St. Joseph County, Indiana (or, if there is exclusive federal jurisdiction, the U.S. District Court for the Northern District of Indiana, South Bend Division) with respect to any dispute arising out of, related to, or occurring during or in connection with the Pilgrimage, this document, or any accident, injury, or damage incident to the Pilgrimage. I agree that if any portion of this Agreement is held invalid, the balance hereof shall, notwithstanding, continue in full legal force and effect.

IN SIGNING THIS DOCUMENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ENTIRE DOCUMENT, THAT I UNDERSTAND ITS TERMS, THAT BY SIGNING IT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS I MIGHT OTHERWISE HAVE, AND THAT I HAVE SIGNED IT KNOWINGLY AND VOLUNTARILY.

 

________________________________________
Signature

________________________________________
Name (printed)

________________________________________
Date


Release of Liability and Permission
for Minors to Travel

I am a participant on a Verso Ministries LLC (“Verso Ministries”) Pilgrimage.

This Release of Liability and Permission agreement (“Agreement”) releases Verso Ministries from certain liabilities that might arise during the Pilgrimage. This Agreement also establishes that I am traveling overseas on the Pilgrimage with permission of my parent or guardian. This agreement is in effect primarily for my attendance during the Pilgrimage, but also includes any travel that the Pilgrimage might include just prior to or just after the Pilgrimage, possibly including travel to neighboring countries. This Agreement covers the full trip, but could extend further if I schedule my departure for the destination country at an earlier date or return from the destination country on a later date. In consideration of being allowed to participate in the Pilgrimage, I hereby agree as follows:

  1. I understand and acknowledge that I am not required to participate in the Pilgrimage; my participation is wholly voluntary. I understand that the Pilgrimage will include travel to and around locations that may involve risk or danger, including but not limited to vehicular accidents, uneven terrain, poorly-maintained steps or walkways, crumbling or falling rock, slip and fall, disease, food poisoning, extreme weather conditions, fire, or third-party criminal or negligent acts such as theft, abuse, or violent attack. I understand that such risk could cause me serious personal injury, including death, or damage to my personal property.

  2. I recognize that there are certain inherent risks associated with any international travel, and I assume full responsibility for personal injury to myself. I hereby release and discharge Verso Ministries, it employees, agents, officers, and representatives (in their official and individual capacities) from any and all liability for any and all loss, damage, and injury (including death) to myself and my family arising out of, resulting from, occurring during, or in any way connected to my participation in the Pilgrimage, whether caused by the fault, negligent act, or omission of myself, my family, Verso Ministries, or any third parties during the entire Pilgrimage within the effective dates stated above.

  3. I agree to observe and obey all laws, posted rules and warnings, and further agree to follow any oral instructions or directions given by Verso Ministries or any of its contracted agents.

  4. I agree to pay for all damages to person or property utilized by Verso Ministries during the course of the trip caused by my negligent, reckless, or willful actions.

  5. I agree to indemnify and defend Verso Ministries, it employees, agents, officers, and representatives (in their official and individual capacities) against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from, result from, occur during, or in any way be connected to my participation in the Pilgrimage, any related or independent travel, and any activities or side trips (e.g. individual tours), irrespective of whether they are sponsored, supervised, selected, or controlled by Verso Ministries in any manner.

  6. I take full responsibility for my ability to participate in the activities of the Pilgrimage. I understand that the host country is slowly working to meet the needs of the handicapped. Verso Ministries will try to accommodate pilgrims with special needs, but cannot guarantee access to handicapped facilities throughout the host country.

  7. I understand that the companies and persons providing transportation, sightseeing arrangements, sleeping accommodations and guided tours during the Pilgrimage are independent contractors and are not agents or employees of Verso Ministries. All reservations, coupons, receipts, and tickets issued or made on behalf of individual vendors or suppliers are subject to any terms and conditions specified by such third parties.

  8. I release from liability and will hold harmless Verso Ministries for any personal injury, property damage, loss of property, health problems, delays, or any action or omission by such third parties including the air carrier, accommodation operators, rail service, public transportation, private bus companies, or participants of the tours including the chaperones and group leaders. By utilizing the service of the suppliers, I agree that Verso Ministries will not be liable for any accident, loss, injury, or damage to me or to those traveling with me in connection with any accommodations, transportation or any other services resulting directly or indirectly from any occurrence or conditions beyond Verso Ministries’ control, including war, acts of God, defects in vehicles, acts of terrorism, breakdown in equipment, thefts, delay or cancellation of or changes in itinerary for any act, omission, or event during the Pilgrimage.

  9. If any violation of these rules or the rules established by my group leaders or Verso Ministries is deemed grave, I understand that I may be required to return home early. I agree to pay any penalties, or have my parent or guardian pay any penalties associated with changing my return flight date and the return flight date of one chaperone. These airline penalties for an early return must be paid prior to boarding the flight.

  10. I understand that Verso Ministries, from time to time, will take photographs or video of persons participating in public events during the Pilgrimage, and I grant Verso Ministries my consent without reservation to use, assign, convey, reproduce, copyright, and publish my name, voice, image, and/or likeness that arises from my participation in the Pilgrimage, whether in still or motion pictures, audio or video, for ordinary promotional purposes.

  11. I agree that this agreement is to be construed under the laws of the State of Indiana, and I hereby consent to the exclusive jurisdiction and venue in the State courts located in St. Joseph County, Indiana (or, if there is exclusive federal jurisdiction, the U.S. District Court for the Northern District of Indiana, South Bend Division) with respect to any dispute arising out of, related to, or occurring during or in connection with the Pilgrimage, this document, or any accident, injury, or damage incident to the Pilgrimage. I agree that if any portion of this agreement is held invalid, the balance hereof shall, notwithstanding, continue in full legal force and effect.

As parent/guardian of a minor participating in this pilgrimage, I also agree as follows:

  1. I have authority to sign this Agreement in the capacity as Parent or Guardian. There is no other person who needs to sign this Agreement for it to have full effect.

  2. I give my full permission for my son/daughter, who signed this document, to travel on the Pilgrimage with Verso Ministries. I understand that Verso Ministries does not chaperone or supervise minors on the Pilgrimage and that any/all chaperoning duties will be performed by other adults who have registered with and are traveling with my son/daughter’s group. On my own behalf, and behalf of my spouse or co-guardian, if any, I release Verso Ministries from any liability related to supervising or chaperoning my son/daughter. I affirm and adopt, on my own behalf, all other releases set forth above in this Agreement.

  3. If I cannot be contacted at the telephone number set forth below, I give my permission for the group’s chaperones to make emergency medical decisions for my son/daughter until I can be contacted.

IN SIGNING THIS DOCUMENT, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ENTIRE DOCUMENT, THAT I UNDERSTAND ITS TERMS, THAT BY SIGNING IT I AM GIVING UP SUBSTANTIAL LEGAL RIGHTS I MIGHT OTHERWISE HAVE, AND THAT I HAVE SIGNED IT KNOWINGLY AND VOLUNTARILY.

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Signature of participant

________________________________________
Name of participant (print)

________________________________________
Participant’s birth date and year

________________________________________
Date signed

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Signature of parent or guardian

________________________________________
Name of parent or guardian (print)

________________________________________
Date

________________________________________
Signature of parent or guardian

________________________________________
Name of parent or guardian (print)

________________________________________
Date

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Contact phone number(s) of parent(s) or guardian(s)