Joey Potter Missions does everything possible to ensure that all participants enjoy a safe and life-changing experience. As part of our commitment to safety, we want to inform you that your trip and activities are not free from risk. These activities may include using power tools, working off the ground on ladders and roofs, camping, and other activities. We do not want to reduce your enthusiasm for your experience, or to cause you to be overly concerned, but we do want you to be aware of the risks that are involved with your trip. JPM Missions further wishes to inform you that the personal information you provide will be used strictly for administrative and operating purposes. Examples may include, but are not limited to, compilation of trip rosters, record keeping for insurance purposes, and situations of professional or emergency medical treatment. The information you provide will be kept safe to the best of our ability, and we will not release or share your information for other purposes without permission from you.
You must list three contacts in case of emergency in order of priority to be contacted.
General Health History
Has the participant ever been treated by a doctor for any of the following? Every item must be checked.
(NOTE: JPM Missions requires each participant to carry “International Health Coverage” Insurance. A policy has been taken out in your name by JPM Missions with your permission. For additional insurance please contact JPM Missions.)
Joey Potter Missions Project Covenant
To be filled out by the JPM Participant. Please click "I Commit" after each statement once you have read it. After you have completed reading the entire covenant, sign at the bottom and if you are under 18, your parent/guardian must sign also.
Travel Release for Participants Under Age 18
I give my permission for my daughter/son to travel with Joey Potter Missions, while on this mission trip.
Acceptance of Risk and Release of Liability
of my own free will, for my family, my children who are minors, my heirs and executors, and myself, have read, understand, and acknowledge the risks and liability for myself and my family on this day.