RELEASE AND AGREEMENT
German American Partnership Program
Exchange Trip to Germany (June- July 2013)
I, the undersigned, agree to the following understandings:
1. I agree to release (a) The Philomath School District and its representatives, (b) Elisabeth (Babette) Grunwald, the GAPP coordinator, and (c) Heidi Holderman, the GAPP chaperone, from, and not to hold such parties responsible for, any claims, demands, liabilities and causes of action arising out of, or connected to personal injury, illness, death or property damage resulting from any cause whatsoever. I agree to indemnify, defend and hold harmless the above named from any damage resulting from events over which they exercise no control, such as Acts of God, strikes or government restrictions. I further agree to indemnify and hold harmless said parties from any claims, liabilities, cost or expenses arising out of personal injury or property damage that I either cause or contribute to while participating in the Germany American Partnership Program (GAPP) exchange between Philomath High School and Gymnasium Süderelbe and from any financial obligations which I may incur of my own behalf.
2. The right is reserved to make changes to the exchange program for the safety, comfort, or convenience of members of the exchange group, whenever, in the sole judgment of the GAPP coordinator or the GAPP chaperone, such changes are deemed necessary. The right is further reserved to refuse to accept or retain any person as a member of this program either prior to departure or during the course of the exchange visit.
3. No responsibility is incurred by the GAPP coordinator or GAPP chaperone for loss of passport, airline or train tickets, or other documents, or damage to luggage or any personal belongings.
4. If I become ill or incapacitated, the GAPP coordinator or GAPP chaperone may take actions necessary for my safety and well-being, including securing medical treatment and transporting me home at my own expense. I fully release Mary Collins, the GAPP coordinator, Babette Grunwald, the GAPP chaperone and the Philomath School District an its representatives from any liability for such action as may be taken on my behalf.
5. This agreement will be governed by the laws of the State of Oregon.
___________________ _________________________________________
Date Signature of Student
_________________________________________
Name of Student
I, the parent or legal guardian of the above student, have completely read and fully understand the foregoing “RELEASE AND AGREEMENT” and agree to be bound thereby, and to cause the above student to comply therewith.
____________________ ___________________________________________
Date Signature of Parent
___________________________________________
Name of Parent
____________________ ___________________________________________
Date Notary Public
German American Partnership Program
Exchange Trip to Germany (June- July 2013)
I, the undersigned, agree to the following understandings:
1. I agree to release (a) The Philomath School District and its representatives, (b) Elisabeth (Babette) Grunwald, the GAPP coordinator, and (c) Heidi Holderman, the GAPP chaperone, from, and not to hold such parties responsible for, any claims, demands, liabilities and causes of action arising out of, or connected to personal injury, illness, death or property damage resulting from any cause whatsoever. I agree to indemnify, defend and hold harmless the above named from any damage resulting from events over which they exercise no control, such as Acts of God, strikes or government restrictions. I further agree to indemnify and hold harmless said parties from any claims, liabilities, cost or expenses arising out of personal injury or property damage that I either cause or contribute to while participating in the Germany American Partnership Program (GAPP) exchange between Philomath High School and Gymnasium Süderelbe and from any financial obligations which I may incur of my own behalf.
2. The right is reserved to make changes to the exchange program for the safety, comfort, or convenience of members of the exchange group, whenever, in the sole judgment of the GAPP coordinator or the GAPP chaperone, such changes are deemed necessary. The right is further reserved to refuse to accept or retain any person as a member of this program either prior to departure or during the course of the exchange visit.
3. No responsibility is incurred by the GAPP coordinator or GAPP chaperone for loss of passport, airline or train tickets, or other documents, or damage to luggage or any personal belongings.
4. If I become ill or incapacitated, the GAPP coordinator or GAPP chaperone may take actions necessary for my safety and well-being, including securing medical treatment and transporting me home at my own expense. I fully release Mary Collins, the GAPP coordinator, Babette Grunwald, the GAPP chaperone and the Philomath School District an its representatives from any liability for such action as may be taken on my behalf.
5. This agreement will be governed by the laws of the State of Oregon.
___________________ _________________________________________
Date Signature of Student
_________________________________________
Name of Student
I, the parent or legal guardian of the above student, have completely read and fully understand the foregoing “RELEASE AND AGREEMENT” and agree to be bound thereby, and to cause the above student to comply therewith.
____________________ ___________________________________________
Date Signature of Parent
___________________________________________
Name of Parent
____________________ ___________________________________________
Date Notary Public