waiver

GENERAL RELEASE AND WAIVER FORM

Instructions:

Read the following form carefully.
Print out the document.
If in agreement fill out the required information including your signature.
Send it to our office by mail or fax it to us at 703 880 8606.

I, , will be participating in a study abroad program in Costa Rica with the company WVA in the . Throughout the duration of the program I will be participating in many excursions to places such as Monteverde, Volcán Arenal, and Manuel Antonio. While I am in this program I may be involved in certain activities that could potentially be dangerous. By choosing to engage in this study abroad program I understand that I am doing so at my own risk.

I hereby acknowledge that I am aware of and understand the risks and dangers of travel to, in, and around Costa Rica including, but not limited to, the dangers to my own health and personal safety posed by terrorism, crime, violence, and disease. I hereby assume, knowingly and voluntarily, each of these risks and all of the other risks that could arise out of or occur during my travel to, from, in, or around Costa Rica.

With the intention of binding myself, and my heirs, assigns, and legal representatives, I hereby WAIVE AND RELEASE any and all rights and claims for damages which I may have against WVA, and its officers, employees and representative, for any and all property damage and personal injury of whatever kind suffered by me while participating in the study abroad program, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties.

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