I affirm that my health is good, that I am fit to participate in any activities presented on this Travel. By participating in this
Travel, I voluntarily assume the risk of injury, property damage, loss, emotional distress, and/or death, including any
medical or other costs associated therewith. I hereby release, waive, discharge and covenant not to sue Roosevelt
University or any cooperating institution, or their respective trustees, officers, administrators, employees, agents,
representatives, volunteers, insurers, assigns, and successors (hereinafter referred to as “Releasees”) from any and all
liability, claims, demands, actions and causes of action for any loss, damage or injury, including death, that may be
sustained by me or my family, or to any property belonging to me or my family, whatsoever arising out of, related to, or in
any way connected with the traveling to or participation in the above-described Travel . I, and my agents, representatives,
assigns, heirs and successors hereby agree to indemnify, defend, and hold harmless Releasees from and against any and all
liabilities, losses, claims, demands, liens, damages, penalties, fines, interest, costs and expenses, whether known or
unknown, past, present or future, including, but not limited to, any and all costs, expenses, and attorneys’ fees, by reason
of injury, property damage, loss, emotional distress, and/or death arising out of, in connection with, or in any manner
related to the traveling to or participation in this Travel . It is my express intent that this Release shall bind the members of
my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be
deemed as a Release, Waiver, Discharge and Covenant Not to Sue the above named Releasees.
Compliance with Policies: I have read and agree to comply with all applicable University policies and procedures,
including but not limited to those that apply to my participation in the Program. I understand that permission to participate
in the Program may be suspended, revoked, or denied by the University in its sole and complete discretion.
Independent Activity: I understand that the University is not responsible for any loss or damage I may suffer when I am
traveling independently or when I am otherwise separated or absent from any University activity. In addition, I understand
that any travel I do independently before or after the University-sponsored Program is entirely at my own expense and
Standards of Conduct: I understand that each country, state, and city has its own laws and standards of acceptable
conduct, including attire, manners, morals, politics, alcohol and drug use, and behavior. I recognize that behavior that
violates those laws or standards could harm the University’s relations with those jurisdictions and the institutions therein,
as well as jeopardize my own health and safety. I, therefore, understand that I am responsible for becoming informed of,
and abiding by, such laws and standards. I understand that any violation of the foregoing disciplinary disturbances may
constitute grounds for my referral to the University’s Office of Student Rights and Responsibilities, and possibly my
suspension or expulsion from the Program and/or from the University. In the event of a conflict between foreign
law/custom and University policy, including our Student Code of Conduct (e.g., as is the case where the legal drinking
age in another country may be age, but the Student Code of Conduct prohibits drinking under age 21), University policy,
including our Student Code of Conduct shall prevail.
I also acknowledge and fully understand that in the event I choose to extend my travel beyond (end date of Program,
including travel) or commence my travel prior to the start date of Program, or otherwise make any changes to the travel
plans arranged for the Program, I will be fully responsible for any such travel arrangements. Roosevelt University accepts
no responsibility for lodging, food, travel, or other necessities occasional by any changes made to the agreed upon travel
plans or any extension thereof.
(If travelling internationally, please read and initial each item below. This section does not apply to domestic travel.)
_____ As a Roosevelt University (“Roosevelt”) student participating or wanting to participate in travel, in a country or
part of a country for which the U. S. State Department has issued a Travel Warning (“Travel Warning”), I acknowledge
that (1) Roosevelt University will not operate, sponsor, fund, supervise, or direct travel to such locations and (2)
Roosevelt University will not grant financial aid or academic credit for programs in such locations.
_____ I agree that I have carefully identified, reviewed and considered the risks of travel to my destination(s). I have
read the most recent relevant U.S. State Department Travel Advisories available as well as the Roosevelt University-
Sponsored Student Travel Policy.
_____ I acknowledge that Roosevelt University will suspend all programs in a country or any portion thereof, for which
a Travel Warning is in effect, even if I am currently traveling in or planning to travel in that country.
_____ I understand that conditions in my travel destination area(s) may change rapidly, and I will stay informed of
current events on a frequent basis by obtaining updated security and health information from and registering with the