Student's Full Name
*
Name on Travel Document
Consent & Waivers
Please read and confirm your agreement with each statement.
Medical Consent - I authorize program staff to provide first aid and seek emergency medical treatment for the participant if necessary. I understand efforts will be made to contact me before major decisions are made.
*
Please Select
Yes
No
Liability Waiver - I understand that activities on the program involve some inherent risk to the participants. I acknowledge this and agree not to hold the organizers, staff, or partner organizations responsible for any injury, loss, or damage, except in cases of gross negligence. This waiver shall be governed by and construed in accordance with the laws of the country in which the organisation is legally registered, and any disputes shall be resolved exclusively in the courts of that jurisdiction.
*
Please Select
Yes
No
Photo & Media Consent - I give permission for the participant to be photographed or filmed during the program and for images to be used for documentation, educational, or promotional purposes.
*
Please Select
Yes, consent for photos/videos
Yes, but no posting online
No
Code of Conduct Agreement - I agree that the participant will follow program rules, show respect to others, and cooperate with staff. I understand that serious misconduct may result in early dismissal at my own expense.
*
Please Select
Yes
No
I confirm that all information provided in this form is accurate and complete. I have read and understood the above consents and agreements.
*
Printed Name
Signature
*
Date
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: