Terms and Conditions-

Required by Rockefeller University

AGREEMENT, WAIVER, RELEASE, ETC. REGARDING PARTICIPATION IN EDUCATIONAL SESSION AT THE ROCKEFELLER UNIVERSITY

I, the undersigned Participant, have requested the opportunity to participate in an educational session that includes, among other things, demonstrations in a laboratory, lecture and discussion (“Educational Session”) at The Rockefeller University in order to further my educational goals and objectives and to advance my knowledge in science. If accepted, I agree to strictly adhere to all applicable rules, regulations, guidelines and instructions of The Rockefeller University, including those concerning safety, the laboratory, and general decorum and conduct, as well as those relating to the University’s prevention of the spread of COVID-19. I agree that my participation is by invitation only and that the University, in its discretion, may end my participation in the Educational Session at any time.
I acknowledge that laboratories are specialized environments involving, among other things, the use of scientific instrumentation, chemicals and biologics, which even under ideal laboratory conditions may involve a degree of risk that is probably greater than ordinarily encountered in daily life and that could involve greater risk, including bodily injury, if used improperly. I am aware that participating in the Educational Session can be dangerous and can involve risks of serious injury, including death. I acknowledge that The Rockefeller University is not an insurer of my health and safety and does not assume responsibility for spontaneous and unforeseen events that may occur during my participation in the Educational Session.
I state that, to the best of my knowledge, I am in good health and suffer no disability or condition which renders my participation in the Educational Session medically inadvisable, or otherwise limits my ability to engage in the Educational Session activities. In the event that I should require emergency care while participating in the Educational Session or while at The Rockefeller University, I grant my permission to The Rockefeller University, its physicians, faculty members, agents and employees to provide such emergency care and treatment, that, in their judgment, may be deemed necessary or advisable. I assume the cost of such emergency care and treatment, if any, and accept responsibility for any treatment or care, including associated costs, required by me beyond the emergency status.
I confirm that I am fully vaccinated (defined as at least two weeks beyond the final dose of vaccine after the second Moderna or Pfizer/BioNTech vaccine and after the first Johnson & Johnson vaccine) and have received a booster or will receive a booster no later than when I become eligible for a booster, against the COVID-19.
In consideration of The Rockefeller University’s permitting me to participate in the Educational Session and to the fullest extent permitted by law, I hereby, on behalf of myself, heirs, agents, executors, administrators, and assigns, waive any right or claim, release, discharge and hold harmless The Rockefeller University and its collaborators Howard Hughes Medical Institute and Aaron Diamond AIDS Research Center and their trustees, officers, faculty members, physicians, students, agents and employees, from any liability for injury including illness or death or other losses, expenses, liabilities, damages and/or legal fees in connection with my participation in the Educational Session.
I agree to permit The Rockefeller University, its employees or representatives to tape, photograph and/or record my image, voice and/or conversation (“my likeness”) in printed, electronic or other media form, now known or hereafter developed. My likeness may be used by The Rockefeller University, including for public relations, fundraising, promotional, recruitment or educational materials. The media form in which my likeness has been captured may include printed or electronic publications or communications, websites, or other means of distribution or transmission, now known or hereafter developed. I hereby waive any right to inspect or approve any such media and authorize the use of my likeness in perpetuity and without any compensation to me. I hereby assign all right, title and interest in all such media capturing my likeness and agree that all such media shall be owned by The Rockefeller University.
I agree that my name may be used in connection with my likeness.
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By signing below, I confirm that I have fully informed myself of the contents of this agreement, waiver, release by reading it before I signed it, and I enter into this agreement voluntarily.
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