Waiver of Liability
Shoulder to Shoulder, Inc. & Hombro a Hombro
I have asked to participate in a brigade, in an
individual rotation, or otherwise as a volunteer with Hombro a Hombro in
Honduras, Central America. I understand that part of my participation
involves providing services to underserved populations. As such, I
understand that I will encounter cultures and laws that are different from
those of the U.S. or my home country. I agree to obey local laws and recognize that
common liability insurance policies may not provide coverage outside of
the U.S. and Canada.
I acknowledge that foreign travel can involve exposure
to disease, and I agree that it is my responsibility to obtain appropriate
immunizations. I also acknowledge that foreign travel can involve
exposure to political and civil dangers, including instances in which
missionaries or other foreign travelers have been kidnapped and/or
killed. I recognize that Hombro a Hombro and its affiliates cannot
control conditions in a foreign country such as Honduras, and I am
traveling at my own risk. I understand that either
evacuation insurance has been purchased for me through Shoulder to Shoulder, Inc., or I will be required to
purchase it and provide proof of obtaining it.
I am traveling neither as an employee nor agent of
Hombro a Hombro or Shoulder to Shoulder, Inc. I acknowledge that
Shoulder to Shoulder, Inc. has no responsibility for my trip to Honduras or my
participation as a volunteer and is only acting as an agent of Hombro a
Hombro to register and purchase insurance for volunteers who wish to
travel to Honduras to participate in a medical brigade, in an individual
rotation, or otherwise as a volunteer with Hombro a Hombro in
Honduras.
In consideration of my participation, for myself, my
heirs, executors and assigns, I HEREBY FOREVER WAIVE AND RELINQUISH any
and all rights, claims, damages, demands and causes of action against Hombro a
Hombro, Shoulder to Shoulder, Inc., each member thereof, present and
future, its officers, agents, employees, and volunteers, which I may have
or which may arise in the future including, but not limited to, any such
accident, illness, injury, death, or property damage.
I agree not to
make any claim or file a lawsuit against Hombro a Hombro, Shoulder
to Shoulder, Inc., any member thereof, present and future, its officers,
employees, and/or volunteers for any damage, death or injury which may
arise as a result of my participation in or involvement with Hombro a Hombro or
any of its affiliates.
I agree to indemnify and hold Hombro a
Hombro, Shoulder to Shoulder, Inc., each member thereof, present and
future, its officers, employees, and volunteers harmless for any and all
liability arising out of, whether directly or indirectly, my participation
in or involvement with Hombro a Hombro or any of its affiliate
partners, including attorney fees.
As well, I agree to the following:
I will behave in a professional, kind and prudent
manner.
I will comply with the governmental, cultural and moral standards of
Honduras.
Alcohol will not be consumed. Illegal substances of any kind
will not be tolerated. No smoking on Hombro a Hombro or Shoulder to
Shoulder property.
Men’s and women’s quarters will be separate and will be off
limits to the opposite sex.
I will be responsible for my own airline travel.
I will comply with the standard evacuation procedure, should this become necessary.
I agree to abide by the Visitor Policies found on the Shoulder to Shoulder
website.
If participating in a brigade or other group trip, for
safety reasons I will remain with the team at all times, especially on public
outings, and never travel alone. I will inform the team leaders of my plans and
whereabouts at all times. There will be a daily plan for communication,
transportation and leadership and my flexibility and positive attitude will
help with all planning. I will ask if I am unclear of any plans. I agree to help the team in whatever duties I
am assigned. I will conduct myself professionally with other team members
or the locals.
I agree that this waiver of liability shall forever
cover my participation in or involvement with Hombro a Hombro or any of its
affiliate partners, now and in the future.
I acknowledge that I have
read this release, understand and agree to its terms.
(Please remember to use the same email throughout the
applications process to keep your records together.)