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International Friendship Ministries
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Take a break from your school work and relax for a few days…
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March
17-20, 2005
Cost includes
home stay with American family, some meals, DOES NOT include entrance fee to any attractions
Name: _____________________________________________________________________________________
Address:
___________________________________________________________________________________
Age: _____ __Male __Female __Married __Single Other family members coming: _________________________________________________________________ (include relationship to you) Home Country: ____________________ School: ________________ Major: __________________________ Food restrictions, allergies to pets, or special medical condition that we need to know: _______________________ __________________________________________________________________________________________
LIABILITY WAIVER & AGREEMENT OF PARTICIPATION I certify that my/my family’s participation in this trip to Chicago from March 17-18 is voluntary. For myself and any who would claim under me, I release INTERNATIONAL FRIENDSHIP MINISTRIES, its employees, volunteers, cosponsors and agents, from any liabilities for loss, injury, or damage to my person (or any member of my family) or property which may result from my/our participation. I have read the brochure, and all information about this tour on IFM’s website, and agree to participate in all scheduled activities.
Signature ______________________________________ Date ___________________
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