Jdc entwine Insider Trip in Bulgaria March 9-17, 2013 Program Agreement and Release by Participant

I, (the “Participant”), hereby request that I be allowed to participate in the March 9-17, 2013, JDC Entwine Insider Trip in Bulgaria (the “Program”) organized by the American Jewish Joint Distribution Committee, Inc. (“JDC”), and, as part of the Program, to travel to and from the field location with others participating in the Program.

I understand that my transportation to and from Bulgaria is being arranged by JDC and that American University Hillel will provide a chaperone for the trip. JDC personnel may not be traveling with the group. If I do not travel to and from Bulgaria with the group, I agree, as a condition of my participation in the Program, that prior to the start of the on-the-ground program on March 10, 2013 and as of the end of the on-the-ground program on March 17, 2013, JDC will have no responsibility of any kind for me, and I will take full responsibility for my actions.

As a condition of my participation in the Program, I agree to the following:

I have or will secure a valid passport prior to my departure date and that my passport will be valid for at least six months after my return date.

I agree to abide and be bound by JDC rules and regulations for the conduct of Participants in the Program including, without limitation, this JDC Program Agreement and Release (the “Agreement and Release”), which I have read and understood.

I further agree that if, at any time, a JDC-authorized staff member should determine that my conduct fails to comply with JDC rules and regulations for the conduct of Participants in the Program, or that my conduct has discredited the status or reputation of JDC, I will voluntarily return to the United States when directed to do so by JDC at my own expense.

I have consulted a physician who has advised me that I am in good health, do not suffer from any physical or mental ailment or disability that requires any medical or surgical care or treatment, or that would make travel and/or participation in the Program hazardous, unwise, unwarranted or a potential source of danger to me or to others who may travel with or participate in the Program. I agree that if any significant change concerning my health and medical condition should occur prior to my departure for the Program, I will inform the JDC.

I understand that I will be covered by JDC-sponsored health insurance (the “Policy”) from the date of departure until the date of the return of the group Program. If I do not travel with the group, the Policy will cover me for the period of time that I participate in the Program. I understand and agree that JDC will have no liability whatsoever in excess of the insurance coverage offered under the Policy and that JDC is not responsible for any medical care or hospitalization incurred prior to my departure or after my return to the United States (or prior to or after the Program if I do not travel with the group).

In case of medical or surgical emergency, I hereby make JDC my attorney-in-fact to select the medical professional to treat me, and I hereby agree that such medical professional may hospitalize or otherwise secure proper treatment for me and may order injection, anesthesia, or surgery for me.

1.agree that neither JDC nor its staff, officers, Trustees, Directors, employees, agents or representatives, nor any physicians, sponsors or participants in the Program (with each of such persons collectively referred together hereinafter as “Indemnified Parties”) will be liable for any action taken or omitted to be taken by an Indemnified Party in connection with or in any way related to the Program or my service as a volunteer;

2.release, indemnify, and agree to hold harmless to the fullest extent permitted by law Indemnified Parties from and against any and all loss, claims, damages, liabilities, or actions (including, without limitation, any loss, claims, charges, liabilities, or actions arising out of the negligence or alleged negligence of “Indemnified Parties”) in any way arising out of, connected with, or attributable to my service as a volunteer or participant in the Program (including, without limitation, any inoculations, general medical treatment, or emergency medical treatment rendered to me in the event of need);

3.agree to the following:

• 
  to fully cooperate with the staff at all times.
  
• 
  to be prompt at all activities.
  
• 
  to respect the property and privacy of others under all circumstances.
  
• 
  to not absent myself from any part of the program or leave the location of the program.
  
• 
  to not invite guests to join for any part of the program.
  
• 
  to adhere fully to JDC security guidelines.
  
• 
  to wear attire that is appropriate to the country of destination.
  
• 
  that excessive use of alcohol is prohibited. Legal drinking age is determined by the specific laws of a given location.
  

• 
  to fully comply with the laws of the country of destination.
  
• 
  to not use and/or possess any illegal drug, including marijuana, and/or supply drugs or drug paraphernalia to any person. Participants may not distribute prescription medicines to any participant.
  
• 
  to not vandalize, disturb the peace or other inappropriate behavior (any damages incurred will be paid for by the person(s) responsible).
  
• 
  to not hitchhike.
  
• 
  to not drive any vehicle.
  
• 
  to not possess knives, firearms or any item that could be construed as a weapon.
  
• 
  to not behave in a way that threatens or harms another individual.
  

4.understand and agree that Indemnified Parties assume no responsibility whatsoever, and will not be held responsible for the operation and management of any of the facilities which may be employed in connection with the Program or for any damage or claim arising there from or in connection therewith;

5.acknowledge that activities during the Program may be subject to certain hazards and that by voluntarily participating in the Program and these activities I understand the dangers and risks involved. I agree to accept any and all risks associated with participating in the Program.

6. agree and understand that my voice, name, and image may be recorded or photographed.  I grant to JDC, and any and all of its affiliates, successors, licensees, and assigns, the universal and perpetual right to use, and to grant others the right to use, my actual or simulated likeness, photograph, voice, personal characteristics and other personal identification in all manner and media whatsoever in, and in connection with JDC (including, but not limited to, websites, newsletters, brochures, and other publications, and for fundraising purposes). I acknowledge and agree that JDC shall be the exclusive owner of all rights in and to all photographs and/or recordings containing my voice, name, and/or image, and to the extent I have any such rights, I grant to JDC any and all rights, including but not limited to all copyrights and other intellectual property, that I may have in and to any and all such photographs and recordings.

Directory: wp-content -> uploads -> 2012
2012 -> The Case Against the nypd’s Quota-Driven ‘Broken Windows’ Policing What Is It?
2012 -> Aa and na members Dying from Tobacco
2012 -> [Baby Crying] 01: 04 [Ching
2012 -> Unit Name / Nom de l’unité uic / ciu dates
2012 -> What We Owe Jehovah’s Witnesses
2012 -> Oceans Challenge Badge
2012 -> Canadian cycling olympians
2012 -> Greg landry, june olkowski and tom lysiak
2012 -> William goldman
2012 -> Does translocation and restocking confer any benefit to the European eel population? A review

Download 13.46 Kb.

Share with your friends: