This is a list of the people who signed a release from liability of Peoples Temple from any claims arising from travel to, and living in Guyana.
The form is two pages, the first for the person him- or herself, the second for any minor “under my custody and control.” A number of second pages are either missing or left not completed.
The liability forms all appear in RYMUR 89-4286-B-1-a-, with the page number(s) indicated below. The names of the signers are in alphabetical order. The date of signature also appears next to the name.
| Name | Date of Signature | Temple Notary | Page number(s) |
| Grover Davis | May 12, 1977 | James R. Randolph | 11-12 |
| Thelma Jackson | April 18, 1977 | Martha E. Klingman | 14a-14b |
Originally posted on January 29th, 2020.