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                              Please read form carefully and fill in the blank spaces.




                           University of Missouri
                     Assumption of Risk and Release Form
Study Abroad provides unique opportunities for academic achievement and personal growth.
Study Abroad also entails special risks. Please discuss both aspects of your prospective study
abroad experience with a study abroad advisor. This release form specifies certain areas of risk
that you should know about before you decide to participate in a study abroad program.

I hereby agree as follows:

   1. RISKS OF STUDY ABROAD: I understand that participation in the University of
      Missouri-Columbia Study Abroad Program specified above ("the Program") may involve
      risks not found in study at the University of Missouri. These risks include, but are not
      limited to those risks involved in traveling to and within, and returning from, one or more
      foreign countries; foreign political, legal, social, and economic conditions; different
      standards of design, safety and maintenance of buildings, public, places and conveyances;
      local medical and weather conditions; and other matters described on a separate Program
      Risk form which I have received, reviewed, and initiated, and which is incorporated by
      reference in this Release Form. I have made my own investigation, and am willing to
      accept these risks.

   2. INSTITUTIONAL ARRANGEMENTS: I understand that the University does not
      represent or act as an agent for, and cannot control the acts or omissions of, any host
      institution, host family, transportation carrier, hotel, tour organizer or other provider of
      goods or services involved in the Program.

   3. LIMITS OF UNIVERSITY RESPONSIBILITY: I understand that the University cannot:

           a) Guarantee the safety of participants or eliminate risk from the study abroad
              environment.

           b) Monitor or control all the daily personal decisions, choices, and activities of
              individual participants.

           c) Prevent participants from engaging in illegal, dangerous or unwise activities.

           d) Assure that US standards of due process apply or provide or pay for legal
              representation for participants.

           e) Assume responsibility for the actions of persons not employed or otherwise
              engaged by the University, for events that are beyond the control of the University
              and its subcontractors, or for situations which arise from the failure of a


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        participant to disclose pertinent information.

     f) Assure that home-country cultural values will apply on the program when these
        differ from those of the host country.

     g) Be responsible for any injury or loss suffered when traveling independently or
        otherwise separated or absent from any University-supervised activities.

4. HEALTH AND SAFETY:

     a) I have consulted with a medical doctor or Christian Science practitioner and
        program coordinator with regard to my personal medical needs. There are no
        health-related reasons or problems that preclude my participation in this Program.

     b) I understand that I am required to maintain comprehensive insurance coverage
        that covers me overseas during my entire study abroad program. If I fail to
        maintain the required coverage, I recognize that the University is not obligated to
        attend to any of my medical or medication needs, and I assume all risk and
        responsibility therefore. If I require medical treatment or hospital care, in a
        foreign country or in the United States, during the Program, the University is not
        responsible for the cost or quality of such treatment or care. I agree to promptly
        express any health or safety concerns to the program staff or other appropriate
        individuals.

     c) The University may (but is not obligated to) take any actions it considers to be
        warranted under the circumstances regarding my health and safety. I agree to pay
        all expenses' relating thereto and release the, University from any liability for any
        actions.

5. STANDARDS OF CONDUCT:

     a) I understand that each foreign country has its own laws and standards of
        acceptable conduct, including dress, manners, morals, politics, drug use and
        behavior. I recognize that behavior which violates those laws or standards could
        harm the University's relations with those countries and the institutions therein, as
        well as my own health and safety. I will become informed of, and will abide by,
        all such laws and standards for each country to or through which I will travel
        during the Program.

     b) I also will comply with the University's and the Program's rules, standards and
        instructions for student behavior.

     c) I agree that the University has the right to enforce the standards of conducts
        described above, in its sole judgment, and that it will impose sanctions, up to and
        including termination from the Program, for violating these standards or for any
        behavior detrimental to or incompatible with the interest, harmony, and welfare of



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           the University, the Program, or other participants. I recognize that due to the
           circumstances of foreign study programs, procedures for notice, hearing and
           appeal applicable to student disciplinary proceedings at the University do not
           apply. If I am terminated from the Program, I consent to being sent home at my
           own expense with no refund of fees or program costs.

       d) I will attend to any legal problems I encounter with any foreign nationals or
          government of the host country. The University is not responsible for providing
          any assistance under such circumstances.

6. PROGRAM CHANGES: The University has the right to make cancellations,
   substitutions or changes in case of emergency or changed conditions or in the interest of
   the Program. I understand that the University's fees and program charges are based on
   current airfares, lodging rates 'and travel costs, which are subject to change. If I leave or
   am terminated from the Program for any reason, there will be no refund of fees already
   paid. I accept all responsibility for loss or additional expenses due to delays or other
   changes in the means of transportation, other services, or sickness, weather, strikes, or
   other unforeseen causes. If I become detached from the Program group, fail to meet a
   departure bus, airplane, or train, or become sick or injured, I will at, my own expense
   seek out, contact, and reach the Program group at its next available destination.

7. ASSUMPTION OF RISK AND RELEASE OF CLAIMS: Knowing the risks described
   above, and in consideration of being permitted to participate in the Program, I agree, on
   behalf of my family, heirs, and personal representative(s), to assume all the risks and
   responsibilities surrounding my participation in the Program. I hereby agree to release,
   hold harmless and indemnify The Curators of the University of Missouri, a public
   corporation, its officers, employees, and agents, and the individual members of the Board
   of Curators, from and against any present or future claim, loss or liability for injury to
   person or property which I may suffer, or for which I may be liable to any other person,
   during my participation in the Program (including period in transit to or from any country
   where the Program is being conducted).




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  PLEASE REMOVE THIS PAGE AND TURN IT IN TO CAFNR INTERNATIONAL STUDIES.
               RETAIN THE OTHER PAGES FOR YOUR RECORDS.


                          Assumption of Risk and Release Form

I have carefully read this Release Form before signing it. No representations, statements, or
inducements, oral or written, apart from the foregoing written statement, have been made. This
agreement shall define my responsibilities relating to the Program for which I have qualified at
the University of Missouri-Columbia and shall be governed by the laws of Missouri, which shall
be the forum for any lawsuits filed under or incident to this agreement or to the Program.

X ____________________________                     _____________________
Signature of Applicant                             Date

I (A) am the parent or legal guardian of the above Applicant, (B) have read the foregoing Release
Form (including such parts as may subject me to personal financial. responsibility), (C) am and
will be legally responsible for the obligations and acts of the Applicant as described in this
Release Form, and (D) agree, for myself and for the Applicant, to be bound by its terms.

X____________________________                      _ _____________________
Signature of Parent/Guardian                       Date
(If Applicant is under 18 years of age)




Name (please print):                                                   Student Number:


Program City, Country:_____________________________


Term(s) check one:
   Winter Break 07-08             Spring 08         Summer 08         Fall 08                 All Year 07-08

Program Sponsor, check one:
   MU International Center                Butler                KU               Business
   AIU                                    CIEE                  IES              CAFNR
   Arcadia                                CMSU                  Wisconsin        Journalism
   AustraLearn                            DIS                   Law

   Other:____________


UM 53 (MAR 99). Revised (FEB 06).



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