*, a parent and/or legal guardian (the "Parent/Guardian") of
*, a student (the "Student") at Randolph-Macon
College (the "College"), understand that participation in a Study/Travel Course
(the "Study/Travel Course") offered through the College is not required as part
of the Student's academic or other responsibilities at the College and that the
Student's participation in the Study/Travel Course is voluntary and solely for
the Student's benefit.
1. General Release from Liability
I understand and acknowledge that the Student agrees to the following:
IN CONSIDERATION of the foregoing and other good and valuable consideration, the receipt and adequacy of which is acknowledged, and to induce the College to make the Study/Travel Course available for voluntary participation, the Participant freely and without reservation GRANTS A FULL AND COMPLETE RELEASE to the College and its employees, agents, successors and assigns, including but not limited to the Instructor, from any and all claims, demands, losses, expenses, irregularities, rights and causes of action, of every kind and nature, known or unknown, foreseen or unforeseen, direct or indirect, arising from or by reason of any and all bodily or other personal injuries, accidents, sicknesses, illnesses, diseases, medical treatments or any other injury or loss, including loss or damage to personal property not covered by insurance, in any manner resulting or to result from, arising out of, or in any manner connected with the Participant's participation in the Study/Travel Course, including, but not limited to (i) the Participant's air, railroad, bus or other transportation or travel resources; (ii) the Participant's receipt of medical treatment arranged or sought by the Instructor or others on his or her behalf; (iii) delays or changes in air, railroad, bus, or other transportation or travel services or hotel or lodging accommodations; (iv) any ticket or coupon issued or arrangements made for air, railroad, bus or other transportation or travel services or hotel or lodging accommodations; and (v) weather, strikes, terrorist attacks or incidents, war or other civil, national or any other violent or non-violent disturbances. The Participant further agrees that this release applies to both the Study/Travel Course and to any voluntary deviation from the course's planned activities, including, but not limited to, a decision not to return to the United States in accordance with the Course's planned return travel arrangements. The Instructor and the College do not assist students with extending their stays and that we do not track information about students' itineraries after the completion of the Study/Travel Course.
2. Mandatory Medical Insurance
I understand, acknowledge, and agree to the importance of having medical insurance coverage while traveling abroad, and that the Student will be enrolled in the College's mandatory insurance plan for the duration of the Study/Travel Course under the following terms and conditions:
3. Cancellation and Refund Policy
Randolph-Macon College (the College) reserves the right to make cancellations, changes or substitutions to the program at any time. The College shall not be liable for any loss whatsoever to program participants as a result of changes or cancellations due to a Department of State travel warning, hostile activity, acts of war or terrorism, or in the event of social, civil unrest, a natural disaster or a similar emergency either in the U.S. or abroad. In the case of an internal unforeseen circumstance, such as health crisis of the instructor, the College will reimburse any recoverable costs of the program and make a reasonable effort to provide some form of substitution.
4. Entire Agreement
I have carefully read the content of this Agreement and General Release in its entirety and fully understand that by signing this form, I am giving up legal rights and remedies that may otherwise be available to me. I acknowledge that I have the right and opportunity to consult with an attorney or other advisor of my choice prior to signing this Parent/Guardian Agreement and General Release.
By signing this form, you do affirm that you are the person whose electronic signature appears above and that all information provided within this form is true and accurate.
ATTENTION: You will receive an email receipt upon successful submission of this form. Please keep this receipt for your own records.