|
LEE UNIVERSITY Summer Honors Program Waiver and Release of Claims
The undersigned is a participant in a special activity sponsored by Lee University. In order to participate in the special activities during Summer Honors 2003, and in
further consideration for being allowed to participate in this program, the undersigned agrees to the following:
1. The undersigned agrees to waive and release Lee University,
and independent, nonprofit corporation, and all persons and entities in interest with Lee University, including administrators, faculty members, staff members, and other employees, agents and representatives of Lee
University of and from any and all claims, actions, and suits for personal injury, death, property damage, or other loss, sustained by the undersigned in connection with the special activity.
2. The undersigned agrees to abide by policies and behavioral
guidelines established by Lee University and/or the program coordinator to be necessary for the operation of the program. I acknowledge that Lee University’s Student Lifestyle Expectations and Community
Covenant apply to this special activity. Should the coordinator decide that a student must be separated from the course because of violation of such guidelines and policies, for disruptive or culturally
inappropriate behavior, or for conduct which could bring the program into disrepute, that decision will be final. All loss and expense incurred in the event of the termination of the undersigned’s
participation in this special activity, including cost of travel, must be borne by the undersigned.
3. The undersigned understands and agrees that Lee University is
not responsible for cancellation or changes in travel or program schedules and adjustments unannounced fees for the special activities caused by changes in Air Tariffs, lodging rates or other fares charged by those
engaged for such services nor is Lee University responsible for any other cancellation and/or changes outside of Lee Universities control. The undersigned further understands and agrees that Lee University is
not responsible and assumes no responsible or liability for any injuries caused by any event, including but not limited to, an act of war, terrorism, strikes, acts of God or other emergencies. The undersigned
further agrees that in the event of an act of war, terrorism, strikes, acts of God or other emergencies, which cause the special activities to be canceled or on hold, any fund due to the undersigned will be
determined by Lee University in its discretion.
4. The undersigned understands and agrees that Lee University is
not responsible for medical expenses medical emergencies if the undersigned requires medical treatment during participation in the above described special activity. If the undersigned is physically
incapacitated for medical reasons, the undersigned agrees that Lee University, or its representatives, may make reasonable arrangements for the medical care of the undersigned in emergency circumstances and any such
medical expenses are the responsibility of the undersigned.
5. I hereby grant Lee University and its agents full authority
to take whatever actions they 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. I authorize Lee University and its agents, at their discretion, to place me, at my own (or my parents’) expense, and without my further consent, in a hospital within the United States
for medical treatment, or if no hospital is readily available, to place me in the hands of a local medical doctor for treatment. In the event Lee University or its agents advance or loan any moneys to me or
incur special expense on my behalf while I am abroad, I (and my parents) agree to make immediate repayment upon my return.
6. The undersigned understands that Lee University is not
responsible for any injury or loss whatever suffered by me during periods of independent travel (which I understand are unsupervised) or during any absence from university activities.
If the participant is not financially responsible for education and/or is under the age of 21 then parent/legal guardian must sign below.
I understand that my daughter/son has read and agreed to the above and I also agree to the above terms.
Name of Student (Please Print) ____________________________________________________
Signature of Parent/Legal Guardian _____________________________________
____________________________________ Date: ___________________________
|