Travel Jan Term | Liability Release All students traveling off-campus for Jan Term must complete this form. You may instead choose to fill out the form in person by visiting the Study Abroad office located at WCC 204. Name* First Last Austin College Email Enter Email Confirm Email Course/Destination*(choose your Jan Term course)London (Banks/Everist)Tanzania (Baker/Fairley)Cuba (Olive/McKelva)Mediterranean (Tooley)Ghana (Akuoko/Mohammed)Greece (Wells)Guatamala (Duffey/Hoops)New York City (Dominick)East Asia (Landeck/Pitts)Panama (Garcia/Healy)Iceland (Blake/Pitts)Are you 18 years old today?*(choose one)YesNoSTOP! Because you are under 18, a parent or guardian must sign your form. Please pick up a copy from the Study Abroad office (WCC 204), have it completed by your parents/legal guardian, and return it there as soon as possible. DO NOT WAIT!Are you a U.S. Citizen?*YesNoNon-U.S. Citizen*You may require a visa or additional travel documents for the country to which you are traveling. It is YOUR responsibility to obtain those documents. If you have questions about how to do this, please visit the Study Abroad office (WCC 204) or email: firstname.lastname@example.org. Please check below to confirm that you understand the non-U.S. citizen policy. I understand that I am responsible for arranging additional visas and travel documents I might require. Liability Release*For and in consideration of my participation in a course or program at Austin College that involves study off‐campus, I hereby recognize that the college provides such a course or program for the sole benefit of the participant, that participation therein is voluntary, and that participants and parents or legal guardians expressly assume all risk of personal injury, loss of personal property, or any other loss of a personal nature. For the same consideration and without conflict with the express assumption of risks, I do hereby release and discharge Austin College, a corporation organized under the Non‐Profit Corporation Act of the State of Texas, its Trustees, Officials, and the Directors of any course or program involving off‐campus study, and cooperating colleges and institutions in the same manner, the drivers and owners of cars and their heirs, successors and assigns of the aforesaid parties, jointly and severally from any and all actions, causes of action, claims, demands, damages, costs, loss of services, and expenses on account of, or in any way growing out of any and all personal injuries and property damage of any kind or degree by reason of any accident or occurrence while the undersigned participant is a member of a course or program involving study off‐campus. The participant further promises to bind himself/herself, heirs, administrators and executors to indemnify and forever hold harmless the said Austin College, its Trustees and Officials, the cooperating colleges and institutions in the same manner, and the said Directors of courses against loss, damage, or expense from any and all claims, demands, actions, or causes of actions that may at any time be made or brought against any or all of said parties by or on behalf of said participant because of any accident or occurrence while said participant is involved in a course or program involving study off‐campus. I have read and do acknowledge and accept this liability release. Please type your full name.*By typing your name here, you affirm that this represents the equivalent of your written signature and that the information you are submitting with this form is correct.