Team Members Information form Name * First Name Last Name Email * Phone * Country (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Emergency Contact Name * First Name Last Name Emergency Contact Phone # * Country (###) ### #### Passport # * Passport Expiration Date * MM DD YYYY Are you a Believer in Jesus Christ * Yes No Team Covenant * I understand trip dates, location and cost may change due to circumstances beyond the control of ICUMissions.org and agree to any reasonable changes. I will comply with all team requirements and attend all Training and Prayer Meetings unless providentially hindered. (You are very much encouraged to attend all team functions. Bonding together in team unity is important in a very practical sense for efficiency and effectiveness on a medical mission. But unity is also extremely important for our Christian witness. “By this everyone will know that you are my disciples, if you love one another.” Jn. 13:35) I place myself under the supervision of the Team Leader(s). If I create problems on the trip, I grant permission to be sent home at my own personal expense with no refunds. I have read and agree to the terms listed NON-DISCLOSURE AGREEMENT (NDA) * ICU MISSIONS.ORG operates in sensitive regions where discretion is essential for the safety of participants, team members, local partners, and the communities we serve. This agreement sets forth the terms under which all participants, volunteers, staff, and affiliates agree to maintain confidentiality and seek proper authorization before releasing any information. 1. Confidential Information For the purposes of this agreement, "Confidential Information" includes, but is not limited to: Details of locations, schedules, and travel itineraries; Identities or personal details of team members, participants, local contacts, partners, or beneficiaries; Specifics of mission activities, strategies, or methods; Any photographs, videos, written accounts, or digital communications taken, recorded, or obtained during participation; Any other information designated as sensitive or confidential by ICU MISSIONS.ORG. 2. Non-Disclosure Obligation I agree not to disclose, share, post, or publish any Confidential Information, whether in written, verbal, or digital form, without the express prior written consent of ICU MISSIONS.ORG. This includes but is not limited to social media, blogs, interviews, press releases, or any public or private forum. 3. Approval for Public Release All press releases, public statements, photographs, videos, and written accounts relating to ICU MISSIONS.ORG activities must be reviewed and approved in writing by ICU MISSIONS.ORG prior to publication or distribution. 4. Right to Remove Content ICU MISSIONS.ORG reserves the right to request and require the removal of any content, whether written, photographic, audio, or video, that is deemed, in its sole discretion, to be detrimental to the safety, security, mission, reputation, or operations of ICU MISSIONS.ORG. I agree to promptly comply with any such request. 5. Duration of Obligation The confidentiality and non-disclosure obligations set forth in this agreement shall continue indefinitely, even after my participation with ICU MISSIONS.ORG has ended. 6. Acknowledgment and Consent By checking the acknowledgment box and typing my name below, I confirm that I have read, understand, and agree to the terms of this Non-Disclosure Agreement. I further acknowledge that my digital signature is legally binding to the same extent as a handwritten signature. By checking this box and entering my name below, I agree to the terms of this Non-Disclosure Agreement. RELEASE OF LIABILITY AND WAIVER AGREEMENT * By submitting this form, I hereby acknowledge, understand, and agree to the following: Release of Liability I fully and forever release, discharge, and hold harmless ICU MISSIONS.ORG, its directors, officers, employees, volunteers, affiliates, and agents from any and all liability, claims, demands, actions, or causes of action of any kind, whether known or unknown, that may arise from or relate to my participation in any ICU MISSIONS.ORG activities, programs, events, or services. This includes, but is not limited to, any loss, damage, personal injury, illness, death, loss of income or revenue, or property damage. Waiver of Legal Action I expressly waive and relinquish any right to bring or participate in any civil court action, lawsuit, arbitration, or other legal proceeding against ICU MISSIONS.ORG or its representatives in connection with any matter covered by this agreement. Voluntary Participation I confirm that my participation is voluntary and that I assume all risks associated with any activities or services provided by ICU MISSIONS.ORG. International Travel and Foreign Country Risk I acknowledge that participation in ICU MISSIONS.ORG activities may involve international travel and working in or transiting through countries outside the United States. I understand that such travel and activities may expose me to potential dangers, including but not limited to: political instability, civil unrest, terrorism, crime, kidnapping, health hazards, communicable diseases, inadequate medical facilities, hazardous transportation conditions, and adverse environmental conditions. I voluntarily assume all such risks, and I understand that ICU MISSIONS.ORG cannot guarantee my safety in any foreign location. Digital Signature Consent I acknowledge and agree that by checking the acknowledgement box and typing my name below, I am providing my legal digital signature, which constitutes my full agreement to and understanding of all terms set forth in this waiver. My digital signature is legally binding in the same manner as a handwritten signature under applicable law. I have read, understood, and voluntarily agree to the terms of this Release of Liability and Waiver Agreement. By checking this box and entering my name below, I acknowledge my full and informed consent. Statement of Truth I do hereby attest that all information provided in this form is true, complete, and accurate to the best of my knowledge and belief. I affirm that I am of sound mind and acting of my own free will, and I understand that this statement is made under penalty of law and is legally binding to the fullest extent permitted by the laws of the State of Alabama Thank you!