be responsible for the Child in all aspects of school life, including, but not limited to: day-to-day school decisions and activities, signing of all pertinent forms, being contacted by school officials with any questions or concerns, release of any school reports or access to school web-based information and providing all transportation to and from school in a timely manner.
Medical Release
I give permission and hereby authorize US-firstand its respective Representatives, officers, directors, volunteers and employees, including the Child's host family or families, to:
* provide routine health care, dispense any medications prescribed to the Child,
* dispense to the Child any over-the-counter medications (according to proper dosage instructions) when reasonably deemed necessary
* transport the Child to a medical facility for medical treatment
* authorize any physician, dentist, hospital or medical treatment center to treat the Child in case of an emergency. I hereby do consent to the use of blood and/or blood products under the care of a licensed physician in case of an emergency.
* consent to any x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment and hospital care to be rendered to the Child under the general or special supervision and on the advice of any physician or dentist representing to be licensed on the medical staff of a hospital or medical care facility whether such diagnosis or treatment is rendered at the office of said physician or at the said facility or hospital.
The undersigned adult(s) shall be jointly and severally liable and agree(s) to pay any and all costs and expenses incurred in connection with such medical and dental services rendered to the aforementioned Child pursuant to this authorization within thirty (30) days of the date of billing such costs and expenses. Should it be necessary for the Child to return home due to medical reasons or otherwise, the undersigned shall assume and be responsible for the payment of all transportation costs.
I do hereby authorize US-first and its respective Student Representatives, officers, directors, volunteers and employees including the Child's host family or families to provide this release form as proof of authorization for consent to provide medical care for the Child as determined is necessary.
Travel Release and Authorization
I authorize my child to travel within the out-of-town guidelines established by the US-first program. I accept full responsibility for and assume all of the risk associated with the Child's participation in any approved US-first travel/activities. I agree to release, indemnify and hold harmless US-first and its American partners and independent contractors from any and all claims, liabilities, ages, losses, settlement payments, deficiencies, liabilities and reasonable costs and expenses suffered, sustained, incurred or required to be paid to any party because of, or that result from, relate to or arise out of, the Child's participation in any approved US-first travel/activities. It is acknowledged by me that this Travel Release and Authorization eliminates the need to receive approved signatures for any US-first approved travel/activity for the duration of the Child's participation in the US-first program. Any Child desiring to participate in travel/activities not approved by the US-first program must follow the US-firsttravel guidelines.
School and Host Family Policy
I understand and agree that I will not directly contact the school where the Child attends, to work directly with the school. I agree that I will not contact the US-first host family directly to host the Child outside of the US-first program. I agree to remove the Child from the US-first approved school and host family home if I terminate the Child’s participation in the US-first program.
Legal
I, individually, and on behalf of the Child, expressly waive any defense to the enforcement of any provision of this Agreement arising from a claim of lack of consideration and warrant that the commitment set forth in this document constitutes a legal, valid and binding obligation upon me enforceable against me in accordance with its terms.
I expressly agree that the authorization, assumption of risk, release and the other agreements and representations set forth herein are intended to be as broad and inclusive as permitted by law. I further state that I HAVE CAREFULLY READ THE FOREGOING PROVISIONS INCLUDING, BUT NOT LIMITED TO, THE ASSUMPTION OF RISK AND RELEASE OF LIABILITY AND UNDERSTAND ITS CONTENTS AND I VOLUNTARILY SIGN THIS AGREEMENT AS MY OWN FREE ACT. THIS IS A LEGAL DOCUMENT AND I UNDERSTAND THAT I HAVE THE OPPORTUNITY TO CONSULT WITH AN ATTORNEY BEFORE SIGNING IT.
This Agreement and its validity, interpretation, performance and enforcement shall be governed by the laws of the state of Arizona regardless of any conflict of law provisions. The parties submit to the jurisdiction of the Court of Arizona, and the United States District Court. The parties further stipulate, acknowledge and agree that venue is proper in the Court of Arizona, and in the United States District Court for the State of Arizona. The parties waive any objection to venue and any objection based on a more convenient forum in any action instituted under this Agreement and further waive their right to a trial by jury.
If any provision of this Agreement is determined to be illegal or unenforceable for any reason, in whole or in part, the remaining provisions shall not be affected thereby.
This Agreement shall not be amended, modified or altered in any way without the express, written permission of US-first.
The terms and conditions of this Agreement shall be binding upon all of the parties as well as their heirs, representatives, successors, transferees and assigns (whether by merger, reorganization, recapitalization or similar event).
This Agreement sets forth the entire understanding of the parties with respect to the subject matter herein and supersedes all prior understandings and agreements which, upon execution of this Agreement, shall no longer be effective.
IN WITNESS WHEREOF, this Authorization and Assumption of Risk and Release agreement has been executed on this date.