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[ Terms & Conditions ]
[ Insurance ] [ Release
Form ]
[ Application Form
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Release
Form
A Release Form must be completed, signed, and
dated for each adult, who participates in the program.
A. Release Statement Each adult applicant
is aware, and acknowledges his or her awareness by the
signing of this Form of the risks of injury, which are
associated with travel in foreign countries. Each applicant
with the applicant's acceptance and enrollment in this
"2004 Cultural Exchange Programs", assume
all risks in connection with said program, and release
Hope Education Foundation, Perfect Transportation &
Travel (PTS), Inc., this tour's organizer, all agents,
and instructors thereof from any damages resulting from
any injury or accident, which may befall the applicant
in connection with his or her participation in the tour,
including, but not limited to all risks connected therewith,
whether foreseen or unforeseen. Each applicant further
agrees to waive and hold harmless Hope Education Foundation,
PTS, all agents, and instructors thereof from any and
all liability associated with participation by the applicant
in this "2004 Cultural Exchange Programs".
B. Medical Statement
I understand the travel and physical requirements of
2004 Cultural Exchange Programs, and state that I am
in good physical health to participate in all aspects
of the program (at various times this may include bicycle
riding, walking, hiking, sailing, rowing, swimming,
and engagement in contact sports). I have had a medical
examination within the last six months and am fully
covered by my medical insurance carrier, __________________________________.
I further understand that any and/or all expenses directly
or indirectly related to any accident, injury or illness
incurred by me during or as a result of our trip would
be my sole responsibility.
C. Behavior Code
Any conduct heretofore described, but not limited to
those situations, which endangers the reputation of
Hope Education Foundation and/or all members of the
program or endangers the person or property of any participant
is unacceptable. All adult participants should realize
that a violation of the rules defined in this paragraph
might result in a disciplinary response, including immediate
dismissal and return home at my own expense and forfeiture
of the money I have paid for this program.
Signed:
Name ___________________________________________________________.
(Please print.)
Signature__________________________________Date _____________________.
Note: Please return this form and the application form
at the same time.
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A Release Form must be completed , signed,
and dated for each child, who participates in the program.
A. Release Statement
Each applicant and parent or legal guardian is aware,
and acknowledges that awareness by the signing of this
form of the risks of injury, which are associated with
travel in foreign countries. Each applicant and his
or her parents or legal guardian in consideration of
the applicant's acceptance and enrollment in this 2004
Cultural Exchange Programs assume all risks in connection
with said program, and release Hope Education Foundation,
Perfect Transportation & Travel (PTS), inc., this
tour's organizer, all agents, and instructors thereof
from any damages resulting from any injury or accidents,
which may befall the participant in connection with
his or her participation in the tour, including, but
not limited to all risks connected therewith, whether
foreseen or unforeseen. Each applicant further agrees
to waive and hold harmless Hope Education Foundation,
PTS, all agents, and instructors thereof from any and
all liability associated with participation by the applicant
in this 2004 Cultural Exchange Programs.
B. Medical Statement
I understand the travel and physical requirements of
2004 Cultural Exchange Programs and state that _________________________________is
in good physical health to participate in all aspects
of the program (at various times this may include bicycle
riding, walking, hiking, sailing, rowing, swimming,
and engagement in contact sports). He/she (circle one)
has had a medical examination with the last six months
and is fully covered by my medical insurance carrier,
_______________________________________. I further understand
that any and/or all expenses directly or indirectly
related to any accident, injury or illness incurred
by him/her during or as a result of our trip would be
our sole responsibility.
C. Behavior Code
Any conduct heretofore described, but not limited
to those situations, which endangers the reputation
of Hope Education Foundation and/or all members of the
program or endangers the person or property of any participant
is unacceptable. Parents and students should realize
that a violation of the rules outlined in this letter
may result in a disciplinary response from the program,
including immediate dismissal and return home at parental
or guardian expense and forfeiture of the money paid
for this program.
Signed:
Student's name ______________________________________________________.
Student's signature__________________________Date
_____________________.
Parent/Guardian's name_______________________________________________.
Parent/Guardian's signature:_________________Date____________________.
Note: Please return this form and the application
form at the same time.
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