Personal and Medical Information

Medical Information

6. I consider myself healthy enough to fulfill my responsibilities on the mission team.

Consent

I give permission to receive emergency medical attention from a physician in the event of illness or injury.

Trip Insurance Information

GLOW (Go Love Our World) International, Org. will provide secondary accident and injury insurance for each volunteer during the mission trip. The following information is needed to secure this insurance:

PARTICIPANT LIABILITY RELEASE FORM

Please read before signing, as this constitutes the agreement as a volunteer and the understanding of your working relationship as a volunteer with GLOW (Go Love Our World) International, Org.

I, acknowledge and state the following:
I understand that this work involves a risk of physical injury and often involves hard physical labor, heavy lifting, and other strenuous activity; and that some activities may take place on ladders and building other than ground level. I certify that I am in good health and physically able to perform this type of work. I understand that GLOW (Go Love Our World) International, Org has the right to refuse acceptance of any volunteer.

I understand that I am engaging in this project at my own risk. I assume all risk and responsibility for any damage or injury to my property or any personal injury, which I may sustain while involved in this project, and related medical costs and expenses.

In the event that my supervising organization arranges accommodations, I understand that they are not responsible or liable for my personal effects and property and that they will not provide lock up or security for any items. I will hold them harmless in the event of theft or for loss resulting from any source or cause. I further understand that I am to abide by whatever rules and regulations may be in effect for the accommodations at that time.

I herby grant permission to GLOW (Go Love Our World) International, Org., at its sole discretion, to publish or otherwise use any photos or videos of me for all legitimate purposes, in any and all of its publications, including website entries, without additional consideration or compensation.

By my signature, I release, discharge and forever hold, GLOW (Go Love Our World) International, Org, together with their officers, agents, servants, and employees, harmless from any and all causes of action arising from my participation in this project, and travel or lodging associated therewith, including any damages which may be caused by their negligence.

Please be advised that The U.S. Department of State and U.S. Centers for Disease Control and Prevention (CDC) are requiring that travelers returning to the United States from a foreign country provide either 1) documentation of a negative COVID-19 test within the 3 day period prior to travel or 2) documentation of a positive viral test that confirms previous SARS-CoV-2 infection and a letter from a licensed health care provider or public health official stating that the passenger has been cleared for travel (Documentation of Recovery). This means that, unless you have documentation of recovery from a previous COVID-19 infection, volunteers will be required to undergo a COVID-19 test while in Honduras and, if the test is positive, will be required to quarantine in Honduras before being allowed to return to the United States. Federal and state requirements regarding travel are subject to change based on information released by regulatory bodies, such as the CDC, since the printing of this document, so volunteers are encouraged to review the guidelines set forth for international travel at https://www.state.gov/coronavirus/ and https://www.cdc.gov.