San Luis Rio Colorado, Mexico
March 20-27, 2027

If your trip is going out of the country, please upload a copy of your passport information page. If you are in the process of renewing your passport, check box and add date of when you will receive passport. Once received, you will need to email a current copy of your passport page to [email protected].

shall be traveling with The Evangelical Covenant Church (the "Church"), Merge, Serve Globally and /or a related entity

(hereinafter, referred to as the Activity.) 

I acknowledge that I am a volunteer and that I am not an employee or contractor of the Church, Merge, Serve Globally and/or any related entity. I understand that participation in the Activity may include unusually high risk of injury, inherent in travel and volunteer work in developing nations. I am responsible for learning about these potential risks and taking all necessary precautions.

As part of the consideration for participating in the Activity, 

on behalf of myself and my representatives, relatives, estate, heirs, beneficiaries, next of kin, assigns, administrators, executors, partners, participants, trustees, attorneys, and agents (the “Releasing Parties”), do hereby release the Church, Merge, Serve Globally, Global Engagements, Global Immersion Program, Global Intern Program, ReVision and their trustees, leaders, administrators, personnel, members, participants, directors, officers, committee members, representatives, attorneys, employees, volunteers and agents (the “Church Released Parties”), from any claim for property or physical damages, injury, death, or loss of any kind, relating to the Activity, including, but not limited to, resulting directly or indirectly from my travel to, from or during, and/or participation in, the Activity. 

In the unlikely event of the death of an individual, including but not limited to me, during the Activity, the Church, the local church organization, the sending church/organization and/or the appropriate government authorities will be involved in working to have the individual’s remains returned to their home country as quickly as possible. In extremely rare circumstances, this may not occur due to various reasons. I, on behalf of myself and the Releasing Parties, specifically do hereby release the Church Released Parties from any claim relating to the return of any individual’s remains to their home country. 

As further consideration for participating in the Activity,

on behalf of myself and the Releasing Parties, further agree to defend, indemnify, save, protect, reimburse and forever hold harmless the Church Released Parties from and against any and all liability, obligation, claim, penalty, loss, cost, damage or expense (including, without limitation, court costs, attorneys’ fees, expenses, actual, consequential and punitive damages), which the Church Released Parties, or any of them, may suffer, incur or sustain, or for which the Church Released Parties, or any of them, may become liable for resulting directly or indirectly from my actual or alleged acts, errors, or omissions during my travel to, from or during, and/or participation in, the Activity.

As further consideration for participating in the Activity,

acknowledge receipt of the separate document entitled A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT and certify that I have read and understand that document. I hereby authorize the obtaining of "consumer reports" and/or "investigative consumer reports," which could include a criminal background check, by the Church Released Parties at any time after receipt of this authorization and throughout my participation in the Activity, as allowable by applicable law. To this end, I hereby authorize, without reservation, any law enforcement agency, administrator, state or federal agency, institution, school or university (public or private), information service bureau, employer, or insurance company to furnish any and all background information requested by Clear Investigative Advantage or any other consumer reporting company used by the Church Released Parties. I also authorize the Church Released Parties to disclose the content of the consumer reports, as necessary to affiliated companies that I may have the opportunity to work with. I hereby release and discharge the Church Released Parties, their employees and agents, from any and all claims I may have against the Church Released Parties or Clear Investigative Advantage arising out of the making or use of either a consumer report or investigative consumer report. I agree that a facsimile ("fax"), electronic or photographic copy of this Authorization shall be as valid as the original and I agree to receive any notices, relating to my background check, electronically.

As further consideration for participating in the Activity,

on behalf of myself and the Releasing Parties, acknowledge that the Church Released Parties may collect my personal information as detailed in The Church’s Privacy Policy which is found here--Privacy Policy.pdf. I have read The Church’s Privacy Policy and acknowledge and accept its terms, and consent to The Church’s collection, use and disclosure of my personal information as detailed in the Privacy Policy.

As further consideration for participating in the Activity,

consent to The Church’s collection, use and storage of my biometric data and biometric information, including my facial geometry which may be collected from my passport photograph, as detailed in the Illinois Biometric Information Security Policy found here - Illinois Biometric Information Security Policy.pdf

This agreement shall be binding upon, and its benefits and obligations shall inure to the Parties and their representatives, successors, heirs, and assigns.

This agreement shall be governed by and construed under the laws of the State of Illinois and any dispute arising from this agreement shall be litigated in a court in Cook County, Illinois.

I understand the terms of this agreement are contractual and not a mere recital. I have signed this agreement of my own free will. I further state and acknowledge that I have fully informed myself of the content of this agreement and release by reading it before I signed it.

I have executed this Release and Indemnity Agreement this

Current Policy

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If your insurance does not cover your trip, you can purchase travel insurance for coverage during the time away.