VOLUTEER LEADERS SAINT CHRISTOPHER JOURNEYS, LLC LIMITATION OF LIABILITY STATEMENT
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- Audra Baldwin
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1 VOLUTEER LEADERS Saint Christopher Journeys LLC uses the services of volunteer leaders for the journeys. Volunteer leaders do not pay for their participation in the journey. In the case of international travel, Saint Christopher Journeys LLC pays for transportation from the U.S. to the destination. Leaders must hold a master s degree or be in the active process of pursuing one. Preference is for faculty and staff of colleges and universities. Preference is for persons with degrees in higher education, pastoral studies, theology, or related fields. SAINT CHRISTOPHER JOURNEYS, LLC LIMITATION OF LIABILITY STATEMENT In no event will Saint Christopher Journeys LLC be liable to participants or leaders for any loss or damages arising out of their participation in activities organized by Saint Christopher Journeys LLC. This includes: 1. Risks in traveling to, within, and/or returning from foreign countries and/or other U.S. cities, including, but not limited to, political, legal, social, and economic conditions; different standards of design, safety, and maintenance of buildings, public places, and conveyances; and local medical and weather conditions. 2. Saint Christopher Journeys LLC does not represent or act as an agent for, and cannot control the acts or omissions of, any host institution, transportation carrier, host family, hotel, tour organizer/leader, or other provider of goods or services involved in the journey. Saint Christopher Journeys LLC is not responsible for matters beyond its control. Saint Christopher Journeys LLC reserves the right to cancel the trip without penalty or to make any modifications to the itinerary or academic program as it deems necessary. 3. Saint Christopher Journeys LLC has no control over the actions of officers of any government, including immigration officials of any country, including the United States. 4. Saint Christopher Journeys LLC is not obligated to attend to any participant s or leader s medical needs. 1
2 SAINT CHRISTOPHER JOURNEYS, LLC VOLUNTEER LEADER APPLICATION Surname(s) as it appears on your Passport (State ID for domestic journeys): Given Name(s) as it appears on your Passport (State ID for domestic journeys): Gender: Country Issuing Passport: Passport number: Passport expiration (Spell out, like "July 4, 1776"): (Note: Your passport MUST be good for at least six months past your last day of travel. If your passport is going to expire before that, please begin the passport renewal process NOW.) State issuing state ID: ID number: State ID expiration (Spell out, like "July 4, 1776"): (Note: expired ID may not be considered valid identification for boarding a plane.) Mailing address with zip: Cell phone number: you use most often: Date of Birth (Spell out, like "July 4, 1776"): Age at the time of travel: Medicines you expect you will be taking while traveling: Medical Conditions that should be known in case of an emergency: Person to contact in case of an emergency (name, phone, , and mailing address): Frequent Flyer airlines and numbers: Seat preferences (window, aisle, etc): How would you describe your Spanish skills? none very limited basic conversant 2
3 ATTACH the following scanned documents: Digital close-up photo of yourself that really looks like you Both sides of your health insurance card State identification Passport open to your photo page (not needed for domestic journeys) Your current CV or resume Name, , and phone of three references who can speak to your professional abilities: Essay Questions (each words): Why are you applying to be a leader on this journey? How might you contribute to recruiting participants for this journey? What has been your relevant travel experience? What has been your relevant experience with justice issues? How comfortable are you with Catholicism? (Saint Christopher Journeys, LLC accepts persons from any religious background. The purpose is: Educational Travel Focusing on Justice through a Catholic Lens.) What has been your experience working with college undergraduates? What is your academic background? 3
4 SAINT CHRISTOPHER JOURNEYS, LLC LEADER RESPONSIBILITIES AGREEMENT IT IS YOUR RESPONSIBILITY TO READ AND UNDERSTAND THIS FORM BEFORE SIGNING. You must be at least 18 years of age and legally self-responsible to participate in a Saint Christopher Journey. First/given name(s) as appears on your passport (state ID for domestic journeys): Last/family name(s) as appears on your passport (state ID for domestic journeys): Date of Birth (write out, like July 4, 1776): Destination of Journey: Month and Year of Journey: I hereby agree, as follows: a. To uphold and promote the purpose of Saint Christopher Journeys LLC, Educational Travel Focusing on Justice through a Catholic Lens. b. To abide by the code of conduct. c. To be present and actively lead group prayer sessions, reflection sessions, site visits, and service. d. To be present to participants and reasonably attend to their needs. e. To remain in frequent (preferably daily) communication with local coordinators and the home office while on a journey. f. To read in a timely manner all materials provided to me by Saint Christopher Journeys, LLC. g. To provide a participation grade for all participants within one week of the end of the journey. h. To keep the first aid kit provided to me handy throughout the journey, to the extent allowed (TSA prohibits scissors, for example). i. To keep the information on each participant and leader handy while on the journey. j. To protect cash I have been given and disburse it as assigned. I acknowledge that I am personally responsible for this cash. I have carefully read this document. No representations, statements, or inducements, oral or written, apart from the statements contained herein, have been made. This agreement shall become effective only upon receipt of my application and deposit by Saint Christopher Journeys LLC and shall be governed by the laws of the state of Illinois, which shall be the forum for any lawsuits filed under or incident to this agreement or the journey. If any portion of this release is held invalid, the rest of the document shall continue in full force and effect. By signing, I acknowledge that I am at least 18 years of age and am legally selfresponsible. Signature of Applicant Date 4
5 SAINT CHRISTOPHER JOURNEYS, LLC FOREIGN AND DOMESTIC TRAVEL ASSUMPTION OF RISK AND RELEASE FORM IT IS YOUR RESPONSIBILITY TO READ AND UNDERSTAND THIS FORM BEFORE SIGNING. You must be at least 18 years of age and legally self-responsible to participate in a Saint Christopher Journey. First/given name(s) as appears on your passport (state ID for domestic journeys): Last/family name(s) as appears on your passport (state ID for domestic journeys): Date of Birth (write out, like July 4, 1776): Destination of Journey: Month and Year of Journey: I hereby agree, as follows: 1. Risks of participation: I understand that this journey involves risks in traveling to, within, and/or returning from foreign countries and/or other U.S. cities, including, but not limited to, political, legal, social, and economic conditions; different standards of design, safety, and maintenance of buildings, public places, and conveyances; and local medical and weather conditions. I have made my own investigation, have obtained materials from a variety of sources, and am willing to accept these risks. 2. Institutional Arrangements: I understand that Saint Christopher Journeys LLC does not represent or act as an agent for, and cannot control the acts or omissions of, any host institution, transportation carrier, host family, hotel, tour organizer/leader, or other provider of goods or services involved in the journey. I understand that Saint Christopher Journeys LLC is not responsible for matters beyond its control. I hereby release Saint Christopher Journeys LLC from any injury, loss, damage, accident, delay, or expense arising out of any such matters. I acknowledge that Saint Christopher Journeys LLC reserves the right to cancel the trip without penalty or to make any modifications to the itinerary or academic program as it deems necessary. 3. Independent Activity: I understand that Saint Christopher Journeys LLC is not responsible for any injury or loss I may suffer when I am traveling independently or am otherwise separated or absent from any Saint Christopher Journeys LLC -sponsored activities. 4. Passports and Visas: B. For international journeys, I understand that it is my responsibility to have a current passport with an expiration date no less than six months after the end of travel. For domestic journeys, I understand that it is my responsibility to have a current, valid state ID. C. For international journeys, I understand that Saint Christopher Journeys LLC will obtain appropriate visas for U.S. citizens and all those who require the same or similar visa. In most cases, permanent legal residents of the U.S. are governed by the same regulations as 5
6 US citizens. If I am not a U.S. citizen, I understand that it is my responsibility to research what kind of visa(s) is necessary for my journey and to obtain it at my own expense and effort. (NOTE: for travel to Cuba, persons born in Cuba and potentially persons having at least one parent born in Cuba must obtain a special visa from the Cuban consulate in Washington, DC.) I also understand that it is my responsibility to ensure that I have the appropriate visa for re-entry into the United States. D. I understand that Saint Christopher Journeys LLC has no control over the actions of officers for immigration and customs for any country, including the United States. E. In the case of travel to Cuba, special U.S. regulations apply for permission to travel to Cuba, and Saint Christopher Journeys LLC must comply with these regulations. I understand that my failure to fully participate in this journey (including enrollment in necessary coursework) will force Saint Christopher Journeys LLC to remove me from the license and inform the U.S. government that I visited Cuba illegally. I understand that this is necessary in order for Saint Christopher Journeys LLC to protect itself from criminal involvement. 5. Health and Safety: A. I have consulted with a medical doctor with regard to my personal medical needs. There are no health-related reasons or problems, which preclude or restrict my participation in this journey. B. I have read travel advice provided to me by Saint Christopher Journeys LLC, and I have consulted other websites, books, or sources of information giving advice on travel, including travel to my destination. I have read the information regarding my destination provided at the Centers for Disease Control Travel website (wwwnc.cdc.gov/travel), the U.S. State Department travel website (travel.state.gov), and advice for domestic travel ( C. I am aware of all personal medical needs. I have arranged, through insurance or otherwise, to meet all needs for payment of medical costs while I participate in the journey. I recognize that Saint Christopher Journeys LLC is not obligated to attend to any of my medical needs, and I assume all risk and responsibility therefore. If I require medical treatment in a foreign country or the United States, Saint Christopher Journeys LLC is not responsible for the costs or quality of such treatment. D. Saint Christopher Journeys LLC may, but is not obligated to, take any actions it considers to be warranted under the circumstances regarding my health and safety. I agree to pay all related expenses and release Saint Christopher Journeys LLC from any liability for any actions. In case of a medical emergency occurring during my participation in the journey, I authorize in advance the representative of Saint Christopher Journeys LLC to secure whatever treatment is necessary, including administration of anesthetic and surgery. I release Saint Christopher Journeys LLC, and its officers, employees, volunteer leaders, and agents from all liability for any bodily injury or damage I sustain as a result of the medical care I receive directed by or recommended by a representative of Saint Christopher Journeys LLC. E. I understand that Saint Christopher Journeys LLC may purchase some limited travel/health insurance for me. It is still my responsibility to review the policies of such insurance and determine if it sufficient to meet my needs. I understand that Saint Christopher Journeys LLC is not responsible for my medical or travel needs. 6
7 F. I agree to bring with me sufficient cash and credit cards to pay for any necessary medical emergency or change in travel. In the case of travel to Cuba, I realize that most credit cards will not function in Cuba. I understand that protecting my valuables while on the journey is my responsibility, and not that of Saint Christopher Journeys LLC. 6. Standards for Conduct: A. The purpose of Saint Christopher Journeys LLC is Educational Travel Focusing on Justice through a Catholic Lens. As a participant in this journey, I agree that my behavior will conform to this purpose. B. I will not use illegal drugs on the journey. If I am not of legal drinking age at the locations visited on the journey, I will not consume alcohol. If I am of legal drinking age, I will not consume more than two normally-sized alcoholic beverages per day. C. I understand that it is my responsibility to be at all sites and meetings. I will be provided with a list of locations and a schedule. D. I understand that each destination has its own standards of conduct, including dress codes, manners, morals, politics, drug use, and other types of behaviors. I recognize that conduct which violates these standards could harm Saint Christopher Journeys LLC relations with those destinations and the institutions therein, as well as jeopardize my own health and safety. I will become informed of and abide by all such standards for each destination to or through which I will travel during the journey. E. I will comply with Saint Christopher Journeys LLC code of conduct, rules, standards, and instructions for behavior. I waive and release all claims against Saint Christopher Journeys LLC that arise at a time when I am not under the direct supervision of Saint Christopher Journeys LLC or that are caused by my failure to remain under such supervision or to comply with such rules, standards, and instructions. F. I agree that Saint Christopher Journeys LLC has the right to enforce the code of conduct, rules, standards, and instructions, in its sole judgment, and that it will impose sanctions, up to and including expulsion from the journey, for any violations or for any behavior detrimental to or incompatible with the interest, harmony, and welfare of Saint Christopher Journeys LLC, the journey, or other participants. I recognize that due to the circumstances of travel, procedures applicable to student disciplinary proceedings at universities do not apply. If I am expelled, I consent to being sent home at my own expense with no refund of fees. G. I will attend to any legal problems I encounter with any destination nationals or government. Saint Christopher Journeys LLC is not responsible for providing any assistance under such circumstances. 6. Program Changes: I understand that Saint Christopher Journeys LLC has the right to make changes, cancellations, or substitutions, in case of emergency, changed conditions, or in the interest of the journey. If I leave or am expelled from the journey for any reason, there will be no refund of fees already paid. I accept all responsibility for loss or additional expenses due to delays or other changes in the means of transportation other services; sickness; weather; strikes; or other unforeseen causes. If I become detached from the Program group; fail to meet a departure bus, airplane, or train; or become sick or injured, I will at my own expense seek out, contact, and rejoin the Program group at its next available destination. If I cancel my participation, I understand that I will receive no refund and that Saint Christopher Journeys LLC may re-assign my flight or hotel 7
8 accommodations to another person with no compensation to me. I understand that Saint Christopher Journeys LLC may purchase some limited travel/health insurance for me. It is still my responsibility to review the policies of such insurance and determine if it sufficient to meet my needs. I understand that Saint Christopher Journeys LLC is not responsible for my medical or travel needs. I understand that the persons I designate as my emergency contacts will be informed by Saint Christopher Journeys LLC of changes in travel plans, including health issues I face and expulsion form the program if I have a serious violation of the code of conduct. 7. Assumption of Risk and Release of Claims: Knowing the risks described above, and in consideration of being permitted to participate in the journey, I agree, on behalf of my family, heirs, and personal representative(s), to assume all the risks and responsibilities related to my participation in the journey. To the extent permitted by law, I release and indemnify Saint Christopher Journeys LLC and its officers, employees, volunteer leaders, and agents from and against any present or future claim, loss, or liability for injury to person or property that I may suffer or for which I may be liable to any other person, during my participation in the journey (including periods in transit to or from any destination where the journey is being conducted). I have carefully read this document. No representations, statements, or inducements, oral or written, apart from the statements contained herein, have been made. This agreement shall become effective only upon receipt of my application and deposit by Saint Christopher Journeys LLC and shall be governed by the laws of the state of Illinois, which shall be the forum for any lawsuits filed under or incident to this agreement or the journey. If any portion of this release is held invalid, the rest of the document shall continue in full force and effect. By signing, I acknowledge that I am at least 18 years of age and am legally selfresponsible. Signature of Applicant Date 8
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