Summer 2000
Waiver, Insurance, Emergency Form

1. Medical Insurance - All participants must have their own medical coverage either through their parents' policy or through a policy provided by University Health Services.

2. Students assume all risk for property lost, stolen, or damaged.  Therefore, consider what you take to Africa carefully with this in mind.

Waiver and Release of Liability:


I do hereby waive, release and discharge Holy Cross College, and its directors, advisors, administrators and employees of from any rights and claims for any and all damages, losses or injuries to person or property or both, which may be sustained or suffered by me as a direct or indirect result of my participation in the Through Eyes of Faith: An Africa Learning Experience.  I agree to hold Holy Cross College wholly harmless from any and all liability it may incur by virtue of allowing me to participate in the Through Eyes of Faith: An Africa Learning Experience.  I hereby agree to conduct myself according to the policies of the Holy Cross College student handbook.

I have read, understand and agree to the above waiver and release.  I understand that I give up substantial rights signing the waiver and I sign it voluntarily.


Signature: _________________________ Date: _______________


Printed Name: _____________________

WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT


I am a student at Holy Cross College("the College") and have agreed to participate in the Through Eyes of Faith: An Africa Learning Experience ("The Course") during the summer: July 13 to August 9, 2000. I am not required to participate in this Course.  My participation is wholly voluntary.  In consideration of the College's agreement to permit me to participate in this Course, the receipt and sufficiency of which is hereby acknowledged, I agree as follows:

1) I represent and warrant that I will be covered throughout the Course and throughout my absence from the United States by a policy of comprehensive health and accident insurance which provides coverage for illnesses or injuries I sustain or experience while abroad; and, specifically in the countries where I will be living and traveling.  By my signature below, I certify that I have confirmed that my health insurance policy will adequately cover me while I am outside of the United States; and, I hereby release and discharge the College of all responsibility and liability for any injuries, illnesses, medical bills, charges or similar expenses I incur while I am abroad.

2) I, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby release and forever discharge the College and its employees, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses or injuries (including death) I sustain to my person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys fees, which arise out of, result from, occur during or are connected in any manner with my participation in the Course and/or any travel incident thereto.

3) 1, individually, and on behalf of my heirs, successors, assigns and personal representatives, hereby agree to indemnify, defend and hold harmless the College and its employees, agents, officers, trustees and representatives (in their official and individual capacities) from any and all liability, loss, damage or expense, including attorneys fees, which arise out of, occur during, or are in any way connected with my participation in the Course or any travel incident thereto.


4) I agree that this Waiver, Release and Indemnification Agreement is to be construed under the laws of the State of Indiana, U.S.A.; and that if any portion hereof is held invalid, the balance hereof shall, notwithstanding, continue in full legal force and effect.  In signing this document I hereby acknowledge that I have read this entire document, that I understand its terms, that by signing it I am giving up substantial legal rights I might otherwise have, and that I have signed it knowingly and voluntarily.



Signature: _________________________ Date: _________________


Name (printed): ____________________________