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Agreement and Release Note: This document is also available in printer-friendly .pdf format here. This is a release-read this carefully The undersigned, being a student at Monmouth College, and applying for participation in the ___________________________________ program, and having the opportunity to gain certain academic credit through participation in such program, and in consideration of one dollar ($1.00) and other good and valuable consideration receipt of which, a one portion of the program fee, is hereby acknowledged; hereby agrees and forever releases Monmouth College and each of them and any officer, director, staff, employee, servant, representative, trustee, insurers, heirs, executers, administrators, successors and assigns, and or agent thereof of and from any and all liability for any act or omission of any kind or character whatsoever and releases them from any and all costs, damages and claims or assertions of any kind which the undersigned or any of my heirs, successors or assigns may at any time claim or otherwise assert against them and specifically without limitation agree as follows: 1. The program director has the unlimited authority to establish rules concerning the operation of the program and should the director decide that a student be separated from the program because of any violation of such rules, for behavior deemed disruptive to the program, or for any conduct which could adversely impact the program that such a decision will be final and unappealable; 2. Program tuition covers educational costs of the program, such as staff salaries. Because these costs are fixed, once participation in the program has started, tuition refunds will be strictly limited, and will be made in accordance with the policy on the home campus. Such participation shall be defined as either the day the students arrive on the program site or begin group travel; 3. The undersigned hereby releases Monmouth College, any member of the college, any officer, director, staff, employee, servant, representative, trustee, insurers, heirs, executers, administrators, successors and assigns, and or agent, thereof, from any and all personal injury to myself or any damage to, or loss of any personal property caused by acts or omissions of anyone, including but not limited to hotels, carriers, fellow students, restaurants, educational organizations, persons, groups or organizations, including but not limited to Monmouth College, relating to or arising out of the work or study in the ____________________________ program. I have read the foregoing Agreement and Release, fully understand it and accept the conditions stated therein. ___________________________ ___________________________
This webpage was prepared by Professor
Thomas J. Sienkewicz of Monmouth College.
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