Foreign Travel Waiver of Liability and Hold Harmless Agreement

Foreign Travel Waiver of Liability and Hold Harmless Agreement

I, ______, do desire and intend to participate in exchange program with Madison Country Day School.

I understand that there are certain dangers, hazards, and risks inherent in international travel and the activities included in the program, and I agree to assume all risks and responsibilities related thereto. I hereby waive and release all claims against Madison Country Day School , its Trustees, officers, agents, and employees from any and all obligations to me, my heirs, executors and assigns for any injury, loss, damage, accident, delay or expense resulting from my participation in the Program, including, but not limited to, that which may result from the use of any vehicle, strikes, war, weather, sickness, quarantine, or government restrictions or regulations.

I do further agree to indemnify and hold harmless Madison Country Day School, its Trustees, officers, agents, and employees, with regard to any financial obligations or liabilities that I may personally incur or any damage or injury to my person or property or to the person or property of others that may occur while participating in the Partnership including attorney's fees and court costs. Furthermore, I understand that MadisonCountryDay School, its Trustees, officers, agents and employees cannot assure that U.S. standards of due process apply in overseas legal proceedings or provide or pay for legal representation.

I understand that MadisonCountryDay School, itsProgram, officers, agents and employees cannot monitor or control all of the daily personal decisions, choices and activities of individual participants including the prevention of participants from engaging in illegal, dangerous or unwise activities.

I understand that Madison Country Day School, its Program, officers, agents and employees are not responsible for any injury or loss whatsoever suffered by me during periods of independent travel, and the Program has full authority to take whatever action it may consider to be warranted under the circumstances regarding my health and safety, and I fully release each of them from any liability for such decisions or actions as may be taken in connection therewith. In the event that theMadison CountryDay School or its agents advance or loan any monies to me or incur special expense on my behalf while I am abroad, I agree to make immediate repayment upon my return.

I understand that Madison Country Day School, its Program, officers, agents and employees cannot assume responsibility for the actions of persons not employed or otherwise engaged by MCDS, for events that are not part of the program, or that are beyond the control of MCDS, or subcontractors, or for situations that may arise due to the failure of a participant to disclose pertinent information.

I understand that MadisonCountryDay School, its Program, officers, agents and employees cannot assure that home-country cultural values and norms will apply in the host country.

I hereby assure MadisonCountryDay School that I have consulted with a medical doctor with regard to my personal medical needs such that I can and do further state that there are no health-related reasons or problems which preclude my participation in the Program.

I understand that I am responsible for and that I am required to maintain adequate health, life, accident and repatriation insurance coverage while I am traveling as a participant in the Partnership.

I understand that MadisonCountryDay School, its Trustees, officers, agents and employees reserve the right to cancel the trip, and to make alterations in trip and itineraries as may be required. I further understand that MadisonCountryDay School, its Trustees, officers, agents and employees are not responsible for changes or alterations to or cancellation of the program by the host institution.

In signing this Release, I acknowledge and represent that I have become fully informed of the content of this waiver of liability and hold harmless agreement by reading it before signing it, and by signing this document as my own free act and deed confirm that no oral representations, statements, or inducements, apart from the foregoing written statement have been made.

THIS IS A RELEASE OF LEGAL RIGHTS. READ AND UNDERSTAND BEFORE SIGNING.

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Signature of Participant Signature of Parent/Guardian

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Printed NameRelationship to Participant

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Signature of Parent/Guardian

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Relationship to Participant

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