Trip Forms - Villages in Partnership

Trip Forms & Waivers

Step 1 of 10 - Intro

We are so glad that you have decided to visit Malawi with VIP! Those who make this journey report experiences that expand their view of the world and what God is doing in it. You will learn to see hospitality, faith, community, poverty, and resilience in new ways.
We are not in the business of creating “travel/tourist” experiences. Instead, our hope is that this trip would be a transformative opportunity where God meets us, convicts us, and leads us to deeper and deeper change.

After completing the following forms, we will be able to tailor your experience in Malawi to your gifts and hopes as well as the needs of the villagers.

God bless you and your journey.

Sincerely,
Liz Heinzel-Nelson
Executive Director & Trip Coordinator
Villages In Partnership

BEFORE YOU BEGIN

If you need to pause before completing the forms, click "Save and Come Back Later." You will be sent a link via email where you can continue the forms at a later time.
You will need the following information in order to submit these forms:
- Passport info
- Emergency medical info:
  - Medical history
  - Primary physician's contact info
  - Medical insurance info
  - Emergency contact info
We do not share any of your information.

Personal Information
Name*
Preferred First Name Last Name
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Enter Email Confirm Email
Phone*
Phone Type
- Mobile
- Landline
Date of Birth*
Gender*
- Male
- Female
- Other/Prefer not to say
Passport Information
Passport Checks
- I do NOT have a valid passport.
- My passport has less than 2 blank pages.
International travel requires you to have a valid passport with at least 2 blank pages. If you have not started the application for a new passport, please do so as soon as possible.
Country of Citizenship*
Country
Name as it appears on your Passport*
Passport Number
Passport Expiration Date*
Returning Participant?
Have you been to Malawi with Villages In Partnership before?*
- Yes
- No

Waiver of Liability
This is a legal document; please read carefully.
This Release and Waiver of Liability (the “Release”) executed on
Date*

Today's date
by*
Participant Name
(the “Volunteer”)
in favor of Villages in Partnership, Inc., a nonprofit corporation organized and existing under the laws of the State of New Jersey, USA, and Villages in Partnership International, a non-governmental organization incorporated and registered in Malawi, Africa (collectively “VIP”).
I, the Participant, desire to join a trip (friendship trip, medical trip, or other) (the “Trip”) for Villages in Partnership and engage in the activities related to being a participant on such a team. I understand that the activities may include but are not limited to, traveling to and from other countries, traveling to and from other cities and towns, consuming food and living in accommodations available and provided in the foreign country, working with VIP staff, other participants, or mission partners, participating on work/project teams, and engaging in other mission-related activities.

I hereby freely and voluntarily, without duress, execute this Release under the following terms:
1. Waiver and Release.
  I, the Participant, release and forever discharge and hold harmless VIP and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my involvement with or participation on the Trip.
  I understand and acknowledge that this Release discharges VIP from any liability or claim that I, the Participant, may have against VIP with respect to any bodily injury, illness, death, or property damage that may result from my involvement with or participation on the Trip. VIP does not assume any responsibility for or obligation to provide financial assistance or other assistance, including but not limited to medical, health, or disability insurance, in the event of injury, illness, death or property damage (see insurance requirements below).
2. Insurance.
  I, the Participant, understand that, except as otherwise agreed to by VIP in writing, VIP does not carry or maintain health, medical, or disability insurance coverage for any Participant and any injuries suffered will not be covered by VIP’s workers’ compensation insurance. VIP requires all work team members to have appropriate travel insurance. Insurance is paid for by the individual Participant and is required prior to traveling.
3. Medical Treatment.
  Except as otherwise agreed to by VIP in writing, I hereby release and forever discharge VIP from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency or other treatment needed during the Trip.
4. Assumption of the Risk.
  I understand that my time on the Trip may include activities that may be hazardous to me, including, but not limited to, construction activities, loading and unloading of heavy equipment and materials, and local transportation to and from the project sites. SO, I recognize and understand that my time on the Trip with VIP may, in some situations, involve inherently dangerous activities. I also understand that in addition to consuming local foods and living in accommodations that are available in Malawi, I may be traveling to and from locations which pose risk from terrorism, war, insurrection, disease or criminal activities. I hereby expressly and specifically assume the risk of injury or harm in these activities and release VIP from all liability for injury, illness, death, property damage, or other harm resulting from the activities during the Trip.
  Furthermore, VIP does not make travel arrangements for Participants to or from Malawi. I understand that I will be responsible for making such arrangements on my own and hereby expressly and specifically assume the risk of injury or harm, including any financial or economic harm, during the course of such travel and release VIP from all liability for injury, illness, death, property damage, or other harm incurred during the course of such travel.
5. Media.
  I, hereby, authorize the making of photographs, video and audio recordings, or other memorializing of this event and my participation therein, and the publication or other use thereof in social media, printed materials, or other materials for VIP. I, hereby, waive any right to compensation that I otherwise might have to limit or control such.
6. Other.
  I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of New Jersey and the United States of America, and that this Release shall be governed by and interpreted in accordance with the laws of the State of New Jersey. I agree that in the event that any clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or provision shall not otherwise affect the remaining provision of this Release which shall continue to be enforceable. To express my understanding of this release, I sign here. By signing digitally, I consent to do business electronically.
Participant Signature*
By entering your name above, you are digitally signing this Waiver of Liability.
This field is hidden when viewing the form
Participant Signature
Your Name
Your Name
Your Name
Date Signed*
Parent or Guardian Signature*
Required if Participant is under 18 years of age.
This field is hidden when viewing the form
Parent or Guardian Signature
Your Name
Your Name
Your Name
By entering your name above, you are digitally signing this Waiver of Liability.
Date Signed*

Release of Rights
We live in a world that is full of rights. Our particular culture is one where we take pride in our rights. We ask you to consider laying down your rights on this service trip. Not to lay them down for better or for worse, but to lay them down so that we can more fully partner with those whom we seek to serve. Our prayer is that we will be known as humble and loving servants, not as entitled and self-focused individuals. Before signing this, please spend time to consider the weight of each right you are willing to give up (Romans 12:1).

I GIVE UP MY RIGHT TO:
- A comfortable bed
- Having three meals a day
- Having familiar food
- Dressing fashionably
- Seeing results
- Having it my way
- Control of others
- Control of circumstances
- Having pleasant circumstances
- Making decisions
- Taking offense
- Being successful
- Being understood
- Being heard
- Being right
I ENTRUST TO GOD:
- My strength, health and endurance
- My likes and dislikes of food
- My security in God
- God’s purposes and fruit in God’s timing
- My need for the Spirit’s control
- God’s workmanship in others
- My circumstances to God’s purposes in making me Christ-like
- The privilege of suffering for God’s sake
- God’s sovereign hand on my life
- My deepest needs
- My security in God’s love
- My reputation
- My need for recognition
- My need for God’s righteousness
- My life and my loved ones
Participant Signature
By entering your name above, you are digitally signing this Release of Rights.
This field is hidden when viewing the form
Participant Signature
Your Name
Your Name
Your Name
By entering your name above, you are digitally signing this Release of Rights.
Date Signed
Privacy Policy*
- I agree to the privacy policy.
Thank you for completing these forms and waivers.
Please contact us if you need to make any updates or changes.

Trip Forms & Waivers

Step 1 of 10 - Intro

BEFORE YOU BEGIN

Trip Information

Personal Information

Passport Information

Returning Participant?

Volunteer Gifts & Abilities

Personal Expectations

Medical Information

Physician Information

Medical Insurance Information

Emergency Contact

Emergency Authorization

Waiver of Liability

Release of Rights

Condition/Illness/Surgery	Date	End date (if applicable)

Trip Forms & Waivers

Step 1 of 10 - Intro

BEFORE YOU BEGIN

Trip Information

Personal Information

Passport Information

Returning Participant?

Volunteer Gifts & Abilities

Personal Expectations

Medical Information

Physician Information

Medical Insurance Information

Emergency Contact

Emergency Authorization

Waiver of Liability

Release of Rights

Stay Informed