• I, the student listed above, authorize MedSchoolCoach to obtain my academic record and allow its release if necessary.  I understand that I do not need to send transcripts unless instructed.

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  • Form 1 of 3

  • LIABILITY RELEASE, WAIVER, DISCHARGE AND COVENANT NOT TO SUE

  • This is a legally binding Release, Waiver, Discharge, and Covenant Not to Sue (collectively, “Release”), made voluntarily by me, the undersigned Releasor, on my own behalf, and on behalf of my heirs, executors, administrators, legal representatives and assigns (hereinafter collectively, “Releasor,”  “participant”, “I”, or “me”, which terms shall also include Releasor’s parents or guardian if Releasor is under 18 years of age) to MedSchoolCoach, LLC (“MSC”), located at 1660 Soldiers Field Rd, Brighton, MA 02135, USA. 

    As the undersigned Releasor, I fully recognize that there are dangers and risks to which I may be exposed by participating in the program, trip, or other activity described below (the “Activity”). As the undersigned Releasor, I understand that MSC does not require me to participate in this Activity, but I want to do so despite the possible dangers and risks and despite this Release. With informed consent, and for valuable consideration received, including assistance provided by MSC, as the undersigned Releasor, I agree to assume and take on myself all of the risks and responsibilities in any way arising from or associated with this Activity, and I release MSC and all of its affiliates, board of directors, officers, directors, principals, trustees, legal representatives, members, owners, employees, volunteers, agents, administrators, assigns, and contractors (collectively “Releasees”), from any and all claims, demands, suits, judgments, damages, actions and liabilities of every name and nature whatsoever, whenever occurring, whether known or unknown, contingent or fixed, at law or in equity, that I may suffer at any time arising from or in connection with the Activity, including, but not limited to, any injury or harm to me, my death, or damage to, or loss or theft of, my property (collectively “Liabilities”), unless caused by the reckless endangerment or willful misconduct of Releasees, and I agree to defend, indemnify, and save Releasees harmless from and against any and all Liabilities.

    As the undersigned Releasor, I agree that in the event that any damage to equipment or facilities occurs as a result of my willful actions, neglect, or recklessness, I acknowledge and agree to be held liable for any and all costs associated with any actions of neglect or recklessness.

    As the undersigned Releasor, I agree that in the event I should require medical care or treatment, I am financially responsible for any costs incurred as a result of such treatment. I am aware and understand that I should carry my own health insurance.

    As the undersigned Releasor, I agree in the event that any provision contained within this Release shall be deemed to be severable or invalid, or if any term, condition, phrase, or portion of this agreement shall be determined to be unlawful or otherwise unenforceable, the remainder of this agreement shall remain in full force and effect, so long as the clause severed does not affect the intent of the parties. If a court should find that any provision of this agreement to be invalid or unenforceable, but that by limiting said provision it would become valid and enforceable, then said provision shall be deemed to be written, construed, and enforced as so limited.

    As the undersigned Releasor, I recognize that this Release means I am giving up, among other things, all rights to sue Releasees for injuries, damages or losses I may incur. I also understand that this Release binds my heirs, executors, administrators, legal representatives and assigns, as well as myself.

    I agree that this Release shall be governed for all purposes by Massachusetts law, without regard to such law on choice of law.
    I agree that this electronic copy of this Release shall be as valid as the original.
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    Form 2 of 3

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    MEDIA RELEASE

  • I, the undersigned individual, grant MedSchoolCoach, LLC(“MSC”), located at 1660 Soldiers Field Rd, Brighton, MA 02135, USA, the perpetual, non-exclusive, royalty-free right and license, without restriction, to:

    • Record my participation and appearance on digital or film photography, video, audio, or any other medium (collectively, the Recordings).

    • Use my name (or any fictional name), likeness, voice, and biographical material and information in connection with these Recordings to be used only in or for MSC written, electronic, and web publications, including social media and apps (Purpose).

    • Reproduce, distribute, publicly display and/or publicly perform, in print, electronic, or any other medium is now known or hereafter devised, in any and all languages and or geographic regions, copies of the Recordings, in whole or in part. Grantor represents that he or she possesses all rights necessary to grant this permission for and in connection with the Purpose.

    I am voluntarily making this grant of rights. I further agree to release and forever discharge MSC, its affiliates, board of directors, officers, directors, principals, trustees, legal representatives, members, owners, employees, volunteers, agents, administrators, assigns, and contractors, from any and all claims in law or equity, including, but not limited to, any and all claims for libel or invasion of privacy, that I, my heirs, or personal representatives have or shall have arising out of Recordings.

    This release is governed in accordance with the laws of the Commonwealth of Massachusetts.

    I agree that a facsimile (“fax”), electronic, or photographic copy of this Media Release shall be as valid as the original.

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    I have carefully read and fully understand all provisions of this Media Release and I agree to its terms.

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    Form 3 of 3

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    CODE OF CONDUCT

  • Guiding Principles

    • To ensure that the rights of all participants are protected while attending a MedSchoolCoach, LLC (“MSC”) program or event.
    • To establish the safest and best possible educational and experiential environment for all participants.
    • To ensure that breaches of the Code of Conduct are treated in a fair and consistent manner.

    Expectations

    • Participants are expected to adhere to the highest standards of good citizenship, honesty, and integrity in their participation and personal conduct.
    • Participants are expected to show courtesy and respect to their fellow participants, for MSC event or program personnel, and for members of the general public
    • Participants are expected to show respect for and take reasonable care of MSC property, event or program host property, private property, and general public property.
    • Participants are expected to maintain and secure their own belongings and respect the belongings of their fellow participants. They shall not borrow, use, or disturb items belonging to other participants and/or MSC personnel without clear prior permission. Participants are also expected to respect the personal property of members of the general public and visitors. MSC is NOT responsible or liable for lost, stolen, or damaged belongings of its program participants.
    • Participants shall abide by all local, state, and national laws that apply to a MSC event or program.
    • For MSC programs that involve overnight stays, participants agree to reside only in rooms assigned to them. Participants are not to enter the assigned rooms of other participants without the consent of MSC personnel. Co-habitation of opposite genders in assigned rooms is strictly prohibited.
    • Participants are expected to complete to the best of their ability all aspects of the MSC event or program in which they are participating.
    • Participants are expected to provide all information to MSC that is pertinent to their participation in the MSC event or program for which they are enrolled that is requested by MSC personnel prior to the event or program. This information must be provided in a timely fashion and within the deadlines set by MSC personnel. Participants agree that failure to comply may result in the suspension or termination of their participation in the MSC event or program without refund of any kind.
    • Participants are expected remain with assigned MSC personnel and/or in assigned areas at all times.
    • Participants are expected to make MSC personnel aware of any difficulties they have in regard to their ability to participate, accommodations, health, safety, or finances.
    • Participants are expected to know and follow all expectations and prohibited behaviors listed in this Code of Conduct as well as the rules presented by MSC personnel prior to and during the event or program.

    Prohibited Behaviors

    • Any behavior that could expose others to a high likelihood of injury or endangerment is prohibited. This includes horseplay, excessively aggressive athletic competition, dares or challenges, etc.
    • Stealing, damaging, or failing to care for MSC property, other participants’ property, event or program host property, general public property, and MSC staff or volunteer personal property.
    • Continual disruption of the program or event.
    • Refusal to follow behavior guidelines.
    • Using profanity, obscene, derogatory, and abusive language or displaying clothing or other personal items with offensive content.
    • Taking part in or facilitating discrimination of any kind, including, but not limited to, discrimination based on gender, race, national origin, ethnicity, age, religion, sexual orientation, disability, handicap, or intelligence.
    • Bullying, hazing, acts of aggression, violence, or harassment. Harassment consists of conduct of any type (including, but not limited to, cyber, written, verbal, graphic, or physical conduct) which has the purpose or effect of unreasonably interfering with another individual’s participation.
    • Participants shall not engage in any form of sexual harassment. Sexual harassment includes sexual conduct, or conduct with sexual overtones.
    • Participants shall not use, possess, or distribute alcohol, tobacco products (including electronic devices), illicit drugs, or misuse or abuse of any legally obtained product, such as glues, over-the-counter medications, or prescribed medications.
    • Possession of weapons – any object that may cause harm to another or place another person in fear of his/her safety, may be considered a weapon.
    • Participants shall not invite strangers or others not enrolled, including known friends and/or family members, into the MSC event or program without the consent of MSC personnel.
    • Participants should not provide strangers or members of the general public personal contact information or financial information such as bank details or credit/debit card information (other than to a secure vendor or bank).

    Steps taken for failure to follow these behavior guidelines

    • MSC personnel will redirect the participant to a more appropriate behavior.
    • The participant will be reminded of the behavior guidelines and rules.
    • If the behavior persists, participation may be suspended for a duration determined by MSC personnel.
    • MSC personnel will document behavioral situations. The written documents will include what the behavior problem is, what provoked the problem, and the corrective action taken.
    • If issues persist to the point where a second phone call to a parent/guardian is required, it may be determined that dismissal may be found necessary. If a college student has been suspended once and behavior continues to be problematic, dismissal may be found necessary.
    • Behaviors or rule infractions that: endanger the safety of the participant, other participants, MSC personnel, and/or members of the general public; involve the purchase, distribution, or consumption of alcohol and/or illicit drugs; involve the misuse of legally obtained products or medications; involve bullying, hazing, aggression, or harassment of any kind; involve the possession or use of weapons or expression of intent to use weapons; and/or any other infraction deemed serious enough by MSC personnel will be grounds for immediate dismissal from the event or program. 

    Failure to comply with the Code of Conduct may result in the participant’s removal from the MSC event or program and/or additional fees or expenses. There will be no refunds given for participants who are removed from the program due to violations of the Code of Conduct. 

    I agree that this electronic copy of this Code of Conduct shall be as valid as the original.

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    I have carefully read and fully understand all provisions of this Code of Conduct and I agree to its terms.

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