Education International Waiver

EDUCATION INTERNATIONAL WAIVER

Student Information

Student Name:

Date of Birth:    Student ID:

Phone:    Email:

Passport / Citizenship

Passport Number:    Country of Citizenship:

Program Details

Host Country:    Program Start Date:    Program End Date:

Emergency Contact & Medical Information

Relationship:    Phone:

Physician Name:    Physician Phone:

Acknowledgements and Releases

Assumption of Risk: I acknowledge that participation in international programs involves inherent risks, including illness, injury, political unrest, travel disruption, and differing medical standards. I voluntarily assume all such risks associated with participation in the program identified above.

Release and Waiver: In consideration of being permitted to participate in the program, I hereby release, waive, and forever discharge the institution, its trustees, officers, employees, agents, volunteers, partners, and representatives from any and all liability, claims, demands, causes of action, or suits of any nature whatsoever for personal injury, property damage, death, or other losses arising out of or related to my participation, whether caused by negligence or otherwise, except where prohibited by applicable law.

Indemnification: I agree to indemnify and hold harmless the institution and its partners from any claims, damages, losses, liabilities, or expenses (including reasonable attorneys' fees) arising from my actions or omissions while participating in the program.

Medical Authorization: If I am incapacitated or unable to give informed consent, I authorize the institution's representatives to arrange for emergency medical treatment, hospitalization, and transportation as reasonably necessary. I accept financial responsibility for any such care and transportation, including medical evacuation if required.

Insurance Requirement: I acknowledge that it is my responsibility to secure adequate health, travel, and evacuation insurance for the duration of the program. I understand the institution may require proof of coverage prior to travel and may deny participation without such proof.

Compliance with Laws and Rules: I agree to comply with the laws and regulations of the home institution and host country, and I understand that misconduct, criminal activity, or violations of program rules may result in my removal from the program at my expense.

Photographs and Media: I grant permission for the institution and its affiliates to use photographs, video, and other media of me taken in connection with the program for educational, promotional, or archival purposes, unless I specifically withhold consent below.

Do not use my likeness for promotional purposes:

Behavioral and Financial Responsibility

Financial Responsibility: I accept full responsibility for personal expenses, fines, fees, or damages incurred as a result of my actions. I understand that disciplinary or legal costs arising from my conduct are my responsibility.

Dispute Resolution and Governing Law: I agree that any dispute arising from this waiver or my participation will be resolved pursuant to the internal policies of the institution and under the laws applicable to the institution's operations. If any provision of this waiver is found unenforceable, remaining provisions will continue in full force.

Parent / Guardian Information (If Participant Is a Minor)

Participant is a minor under age 18:

Relationship to Student:    Phone:

Acknowledgment and Certification

By signing below, I certify that the information provided on this form is true and complete to the best of my knowledge. I have read and understand the statements above, and I agree to be bound by the terms of this waiver and release. I represent that I have full authority to sign on behalf of the participant if I am a parent or legal guardian.

Sign Now