Release Form For Child Participates

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 2003 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 2003 Cultural Exchange Programs.

B. Medical Statement

I understand the travel and physical requirements of 2003 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.