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RULES AND REQUIREMENTS. I agree to conduct myself in accordance with BREVARD - page 2 / 4

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The United States State Department, which issues Travel Warnings, Travel Alerts and Country Specific Information at: http://travel.state.gov/travel/cis_pa_tw/cis_pa_tw_1168.html;

The World Health Organization http://www.who.int/csr/alertresponse/en; and

The Centers for Disease Control, via the International Travelers Hotline at 1-877-FYI-TRIP (1-877-394-8747) or at http://wwwn.cdc.gov/travel.

[NOTE: All website references are accurate as of May 2009.]

I am aware of and understand the risks and dangers associated with for travel to, in and around Galápagos Islands during my participation in the Program, as well as with any activities I undertake which are not associated with the Program or sponsored or controlled by BREVARD COLLEGE such as independent travel during free periods, periods of time extending beyond the termination of the Program, or other periods in which I am not participating in Program activities.

I certify that I have educated and informed myself about diseases, illnesses, and other health concerns that may result from living and traveling in Galápagos Islands. I understand that I may be at risk for contracting certain diseases including, but not limited to malaria, side effects of malaria drugs, typhoid fever, cholera, Hepatitis B, Hepatitis A, encephalitis, yellow fever, dengue fever, tetanus and diphtheria, polio, measles, mumps, rubella, tuberculosis and the plague.

I further acknowledge that at times during the Program I may be many hours from the nearest medical care or treatment, that available medical treatment may not equate with the level of care available in many U.S. hospitals, and that these conditions and the remoteness of some of my travel in Galápagos Islands may subject me to additional risks of injury, disease, death or damage to my personal property; and, that any injuries or damage I do sustain may grow more severe or lead to my premature death due to the remoteness of the location, the lack of quick access to quality medical care in some instances, and/or the poor quality of the roads or available transportation in some areas.

I understand that serious injuries could occur during participation in this Program and that as a Participant, I could sustain serious personal injuries, illness, property damage, or even death as a consequence of not only BREVARD COLLEGE’s actions or inactions, but the actions, inactions, negligence or fault of others and that there may be other risks not known to me or not reasonably foreseeable at this time. I further understand and agree that any injury, illness, property damage, disability, or death that I may sustain by any means is my sole responsibility except for those occurrences due to Brevard College’s gross negligence or intentional acts.

RELEASE AND WAIVER OF LIABILITY. I, on behalf of myself, my personal representatives, heirs, executors, administrators, agents, and assigns, HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE BREVARD COLLEGE, its governing board, directors, officers, employees, agents, volunteers and any students (collectively “Releasees”) for any and all liability, including any and all claims, demands, causes of action (known or unknown), suits, or judgments of any and every kind (including attorneys' fees), arising from any injury, property damage or death that I may suffer as a result of my participation in the Program, REGARDLESS OF WHETHER THE INJURY, DAMAGE OR DEATH IS CAUSED BY RELEASEES, UNLESS THE INJURY DAMAGE OR DEATH IS CAUSED BY THE RELEASEES’ GROSS NEGLIGENCE OR INTENTIONAL ACTS, AND REGARDLESS OF WHETHER THE INJURY DAMAGE OR DEATH OCCURS WHILE IN, ON, UPON, OR IN TRANSIT TO OR FROM THE PREMISES WHERE

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