Release And Hold Harmless Agreement printable pdf download

Release and Hold Harmless Agreement for Club/Extracurricular International Travel

THIS RELEASE AND HOLD HARMLESS AGREEMENT is entered into this _______ day of

_____________ , 20 ___ by and between _________________________________________

[Full name of Participant] whose home address is ____________________________________________

(“Participant”) and BERRY COLLEGE, INC., a nonprofit corporation organized under the laws of the State of

Georgia (“College”).

1. Participant’s Desire to Participate in the Academic Program

Participant is a student at Berry College and is currently participating in the Club/Extracurricular activity

_______________________ [Club/Extracurricular Organization] (hereinafter referred to as the “club”), arranged

through Berry College, and conducted by ________________________ [name of Faculty Director]. Participant is

planning to participate specifically in an “activity” ____________________ which involves international travel to

_______________________ [name of Foreign Institution, if applicable] (“Host Institution”), from ___________,

20____, to ________________, 20____. Said activity will require travel to and through the following countries

_______________________________________. The primary location for the activity will be in the country of

________________________(“Host Country” or region). It is expressly acknowledged that Participant is not

required to participate in any activity outside of the United States and has chosen to participate voluntarily and

after reading and signing this Agreement.

2. Waiver of College’s Liability for Risks and Dangers

Participant understands that there are certain dangers, hazards and risks inherent in international travel and

in the activity described herein, including but not limited to specific cautions and advisories for travel to and from

the following countries:

__________________________________________________________________________________________

[if applicable, describe any specific dangers contained in bulletins or alerts from the U.S. State Department, World

Health Organization, or Centers for Disease Control], and which also could include serious or even mortal

personal injury and property damage. Participant understands there is no guarantee of Americans with

Disabilities Act compliance by the Host Institution or Host Country. Participant also understands that the College

cannot and does not assume responsibility for any personal injuries, including harassment issues, or property

damage.

3. Participant’s Responsibility for Medical Needs

Participant is aware of all his/her personal medical needs, and through payment of any participation fees or

individually has purchased medical, evacuation and repatriation insurance. Participant agrees that the College

cannot be and is not responsible for attending to any of Participant’s medical or medication needs; that Participant

assumes all risk and responsibility therefore; and that if Participant is required to be hospitalized while in a foreign

country or in the United States during this activity, the College cannot and does not assume any legal

responsibility for payment of such costs. Participants also agrees to complete the “Permission Form for

Emergency Treatment” as required and submit them to the Faculty Director.

4. Requirements of Participant

Participant agrees to adhere to the Viking Code and read “Generally Accepted Responsibilities in Study

Abroad,’ all of which shall apply to international travel for the abovelisted activity. Prior to departure Participant

agrees to attend predeparture meetings and be in good disciplinary standing. Participant will familiarize

him/herself with the culture prior to departure, and adjust dress and behavior onsite to suit the expectations of the

Host Country. Participant also agrees not to operate a motor vehicle of any kind or participate in protests or

demonstrations in the Host Country. Failure to comply with these standards and regulations may result in

termination from the activity, including liability for any applicable penalties and/or expenses entered into or

incurred by the College or Club on Participant’s behalf.

Participant agrees at all times during the activity to comply with the terms and conditions in this agreement,

the rules and regulations of the College (as they appear in this agreement and in bulletins and other official

publications, including all rules and regulations related to the Academic Program), the laws of the Host Country

and, if applicable, the rules and regulations of the Host Institution or activity.

5. Disclaimer of College’s Responsibility

Participant understands that the College in no way represents or acts as agent for the Host Institution, the

transportation carriers, hotels, and other suppliers of services connected with this activity. Participant further

understands and agrees that the College, its governing board, employees, and agents are:

Release And Hold Harmless Agreement

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