I, being 18 years of age or older, do hereby release, forever discharge and agree to hold harmless the Grand Lodge of the English Language Jurisdiction of the AMORC and the Supreme Grand Lodge of AMORC and the directors, officers, employees and agents thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damages and expenses, of any nature whatsoever which may be incurred by the undersigned that occur while participating in the above described trip or activity.

Furthermore, I hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in any and all activities involved therein.

Further, authorization and permission is given to said trip and travel organizers to furnish and hereby release liability of transportation, food and lodging for this participant.

The undersigned further hereby agrees to hold harmless and indemnify said organization(s), its directors, officers, employees and agents, for any liability sustained by them as the result of negligent, willful or intentional acts of the undersigned participant, including expenses incurred attendant thereto.

Further, should it become necessary for the undersigned participant to return home due to medical reasons, disciplinary action or otherwise, the undersigned participant hereby assumes all transportation costs.

I have read the above and understand the rules of conduct applicable to the trip, and will fully abide by them, as well as all additional instructions of the leadership of this trip, and activity directors.