ADDITIONAL LANGUAGE FOR HOST FOR PROGRAM:
I understand and agree that I am responsible for arranging my own health,
accident, and liability insurance, and that no such insurance is provided by
Elizabethtown College.
ASSUMPTION OF RISKS, RELEASE, AND INDEMNIFICATION. FOR
MYSELF AND ALL THOSE WHO MAY CLAIM THROUGH ME OR IN
MY PLACE, AND IN EXCHANGE FOR AND IN CONSIDERATION OF
ELIZABETHTOWN COLLEGE PERMITTING ME TO PARTICIPATE
IN THE COLLEGE'S INTERNATIONAL FRIENDSHIP PROGRAM AND
RELATED ACTIVITIES, I HEREBY ASSUME ALL THE RISKS OF
INJURY ASSOCIATED WITH THIS PROGRAM AND RELATED
ACTIVITIES AND AGREE TO RELEASE, HOLD HARMLESS, AND
INDEMNIFY ELIZABETHTOWN COLLEGE, AND ITS OFFICERS,
AGENTS, AND EMPLOYEES FROM ANY AND ALL LIABILITY,
ACTIONS, CAUSES OF ACTION, NEGLIGENCE, CLAIMS OR
DEMANDS OF ANY NATURE WHATSOEVER THAT MAY ARISE BY
OR IN CONNECTION WITH MY PARTICIPATION IN THIS PROGRAM
AND RELATED ACTIVITIES.
In signing this document I acknowledge that I am 18 years of age or older, that I have read it,
that I understand it, that I have signed it knowingly and voluntarily, and that I accept and
intend to be legally bound by its terms.
Date: _____________________ Signed: _____________________________________
Name Printed ________________________________