Alabama A&M University and Nanjing Forestry University
2016 International Research Experience in China
Alabama A&M University, Department of Biological and Environmental Sciences, Normal, AL 35762
Participation Contract, Waiver of Liability, Assumption of Risk and Indemnity Agreement
Participant’s Full Name
In consideration of being given the opportunity to participate in the 2016 AAMU U.S.-China
International Research Experiences Program (“the Program”), I, for myself, my personal representatives, assigns,
heirs, and next of kin:
1. ACKNOWLEDGE, agree, and represent that: (a) I have read the participant’s code of conduct for the Program,
and agree to abide by these rules and regulations for safe participation; and (b) I am qualified and in good
health and proper physical condition to participate in the Program.
2. FULLY UNDERSTAND that: (a) international study carries with it inherent risks associated with travel outside
the United States; (b) there may be other risks and social and economic losses either not known to me or not
readily foreseeable at this time; (c) personal medical insurance, including emergency medical evacuation and
repatriation services, is my responsibility; and (d) I fully accept and assume all such risks and all responsibility
for losses, costs, and damages I incur as a result of my participation in the Program.
3. AGREE AND WARRANT that I will examine and inspect each activity in which I will take part and that, if I
observe any condition which I consider to be unacceptably hazardous or dangerous, I will notify the proper
authority in charge of the Program and will refuse to take part in the activity until the condition is corrected to
my satisfaction.
4. HEREBY RELEASE, discharge, and covenant not to sue the Regents of Alabama A&M University, the Department
of Biological and Environmental Sciences, Nanjing Forestry University, and the officers, employees and agents
thereof (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or damages
on my account caused or alleged to be caused in whole or in part by the negligence of the Releasees or
otherwise; and I further agree that if, despite this release and waiver of liability, assumption of risk, and
indemnity agreement, I, or anyone on my behalf, makes a claim against any of the Releasees, I WILL
INDEMNIFY, SAVE, AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees,
loss, liability, damage, or cost which may incur as the result of such claim.
_______________________________________________ _______________________
Participant’s signature Date (mm/dd/yyyy)
If the participant is under twenty-one (21) years of age, a parent or legal guardian through signature below must
also accept the conditions of participation.
_______________________________________________
Parent’s / Guardian’s name (printed)
_______________________
Parent’s/Guardian’s signature Date (mm/dd/yyyy)
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