VIRGINIA PROGRAM AT OXFORD
STATEMENT OF RESPONSIBILITY,
LEGAL RELEASE AND WAIVER,
I, ______________________________, a participant in the Virginia Program at Oxford, do voluntarily and without reservation on behalf of myself, my heirs and my estate, waive any and all claims of whatever nature for any injury, loss, damage, accident, delay, irregularity, or expense arising from the use of any vehicle or services, strikes, war, weather, sickness, quarantine, government restrictions, or regulations or from any act or omission of any airline, railroad, bus transportation, sight-seeing, hotel or any other service or transporting company, firm, individual or agency, or for any cause whatsoever in connection therewith against any institution in the Virginia Program at Oxford, the host schools abroad, or any staff member accompanying this Program, their heirs or their estate.
I also grant the Virginia Program at Oxford or any of its officers or agents full authority to take whatever action they feel is warranted under the circumstances regarding my health and safety. This authority will permit the Virginia Program at Oxford, its officers or agents at their discretion to place me, at my own expense, in a hospital at any point for medical services and treatment, or if no hospital is available to place me in the hands of a local medical doctor for treatment. The Virginia Program at Oxford, its officers or agents are further authorized to fly me back to the United States at my own (or my parents’ or guardians’) expense for medical treatment if this is deemed necessary by the Virginia Program at Oxford, in consultation with local medical authorities.
Though guided and advised by the American Director, students are responsible for their conduct and welfare. The Virginia Program at Oxford or its agents reserve the right to make schedule adjustments where necessary in emergencies or changed conditions or in the interest of each group, to alter prior to group departure the cost in order to meet unexpected changes in airline fares, lodging, rates, etc. The announced fee is based on current tariffs, which are subject to change.
Insurance coverage while participating in the Program is the responsibility of the student or her or his parents or guardians. It is also the participating student’s responsibility to obtain and carry with herself or himself a valid passport and any other travel documents deemed necessary by the American Director.
It is understood that the American Director may drop a student from the Program for failure to comply with regulations. If a participant’s membership is terminated, only the funds not actually used will be refunded and the former participant will be sent home at her or his own expense.
________________________ __________________________________________ Date Signature of Participant
Signature of Parent or Guardian