Fillable Student/parent/faculty Advisor Liability Form (Page 4 of 4) in pdf

I N D I A

HARVARD

MODEL UNITED NATIONS

INDIA 2015

tUdent

arent

aCUlty

dvisor

iaBility

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By signing this liability release form, each participant agrees to abide by the rules of HMUN India and the con-

ference venue. These rules are established for the participants’ safety, as well as for that of the hotel and its other

guests. Rules will be strictly enforced by the Hotel security team, the HMUN India security team, and all other

HMUN India staff.

Every student and faculty advisor participating in HMUN India must sign and return a copy of this form to

HMUN India before registering at the conference. Please return a signed form for each participant by July 15, 2015

to . Students must also obtain a signature from a parent or legal guardian. Students or faculty

advisors without a completed release form on file prior to HMUN India will not be permitted to register at the con-

ference, and will thus be unable to participate in any conference activities.

I, the undersigned participant from _____________________________ (name of school or organization) hereby

indemnify and hold harmless, to the fullest extent permitted by law, Harvard Model United Nations India (“HMUN

India”), including Worldview Education Services, Ltd. and the Harvard International Relations Council, Inc. (“the

IRC”), their directors, officers, employees, staff, volunteers, and any agents from and against any and all claims,

liabilities, losses, costs, or obligations including, but not limited to, attorneys’ fees and expenses, which may arise out

of my traveling to, participating in, or returning from HMUN India, but excluding liability for injury, death, or dam-

age caused solely by gross negligence of HMUN India and the IRC. I take full personal responsibility for all charges

and damages to my hotel room.

I also declare that I have read, understood, and will adhere to the Security Rules of HMUN India, and will adhere

to the applicable laws of the city of Hyderabad, the Republic of India, and any other pertinent laws or regulations

in force at the conference location. I declare that I will adhere to any additional rules promulgated by HMUN India

before and during the conference, including but not limited to those published in the conference handbook and

those announced to faculty advisors. I give my consent to be photographed, videotaped, and/or interviewed by

HMUN India and for said photographs, videos, and interviews to be used by HMUN India in any manner of their

choosing. I understand that refunds or other consideration will not be granted for any reason except as provided

for by HMUN India policy and procedure, and agree that I may be expelled from the conference at any time for

violating this agreement with no expectation of refund. Refunds or other consideration will not be granted to those

registered participants unable to attend the conference for any reason, including but not limited to inclement weath-

er, travel delays, or illness. I agree that this agreement is enforceable to the fullest extent of the law, and that any

provisions herein found invalid as a matter of law will be deemed severable from the balance of the agreement.

Participant Name (print): _______________________________________________________

Participant Signature: __________________________________

Date: ________________

Parent/Guardian Name if Participant is a Student (print): ______________________________

Parent/Guardian Signature: _____________________________

Date: ________________

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Student/parent/faculty Advisor Liability Form Page 4

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