Medical Release Form for Haiti Trip

All participants of the Haiti trip must have a medical release form on file with Global Partners.  If you are 18 or older, you may fill out the form online and submit it to us.  Anyone under the age of 18 must download the Youth Medical Release form and have it signed by a parent or legal guardian.  You can then mail the form to us (GPPD; PO Box 117; Blue Ridge, VA  24064), fax it to us at 540.777.1216 or scan the document as a PDF file and email it to info@gpartners.org.

Adult Medical Release Form

INFO@GPARTNERS.ORG

P.O. Box 117, Blue Ridge, VA 24064 | 540-765-4300

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