As a student at Mid Michigan College (Mid), I, the undersigned, have requested permission not to travel with the activity/program/team as indicated during the upcoming trip. I understand this travel is considered an official college-sponsored activity, event, or business during which time I am under the supervision of Mid staff, and that when I travel separately and/or once I leave such supervision, I assume the risks associated with traveling to/from this activity separately, which risks include but are not limited to physical or psychological injury, pain, suffering, illness, disability (including paralysis), economic or emotional loss, and/or death. In consideration for being allowed to travel separately from this activity/program/sport, on behalf of myself and my next of kin, heirs, and representatives, I release from all liability and promise not to sue Mid, the Board of Trustees, and their employees, officers, directors, volunteers, and agents (collectively "Mid") from any and all claims, including claims of Mid’s negligence, resulting in any physical or psychological injury (including paralysis and death), illness, damages, or economic or emotional loss I may suffer because of my decision to travel separately. Furthermore, I agree to hold Mid harmless from any and all claims, including attorney's fees or damage to my personal property that may occur as a result of my separate travel from this Activity/Program/Sport. If Mid incurs any of these types of expenses, I agree to reimburse the College. If I need medical treatment, I agree to be 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.