Mission Trip Forms
Please fill out each of these forms completely.
Mission Trip Release of Liability Form
Mission Trip & Partnership Participation Form
Team Fund Agreement Form
In signing this form, I agree not to hold Hickory Grove Baptist Church, its officers, employees or other agents liable for any injury, loss, damage, or accident that I might encounter while on one of their mission trips.
I realize and acknowledge that my participation on a mission trip to a foreign country includes many risks and possible dangers. I am well aware that my travel to such a foreign country exposes me to such risks as accidents, disease, war, political unrest, injury from construction projects and other calamities.
I hereby assume any such risks that might result from my travel to a foreign country, and I unconditionally agree to hold Hickory Grove Baptist Church, its officers, employees or other agents blameless for any liability concerning my personal health and well being, or any liability for my personal property that might be lost, damaged, or stolen while on a mission trip.
I have carefully read the foregoing and I understand that my signature herein holds Hickory Grove Baptist Church, it officers, employees or other agents harmless for any liability for injury, damage, loss, accident, delay or irregularity in schedule.
Parent Name (If applicant is under the age of 18)
Nacala, Mozambique (November 4–13)
North Africa & Middle East (Dec. 26–Jan. 5)
South Africa (February 1–10)
Boston (March 3–7)
Pittsburgh (April 4–8)
Washington D.C. (April 4–8)
Nacala, Mozambique (May 14–25)
East Asia (Summer)
El Salvador (June 2–9)
Pittsburgh (June 14–23)
Ecuador (June 23–July 1)
Peru (July 26–August 3)
Nicaragua (July 28–August 4)
Ecuador (Fall 2018)
Boston (August 30–September 3)
Nacala, Mozambique (Fall 2018)
Pittsburgh (Fall 2018)
Do Not Fill This Out