Please print out, sign and mail to: eGlobalEducation, 11855 E. Daley Cir., Parker, CO 80134.


This Waiver and Release of Liability and Indemnification Agreement (“Agreement”), when signed and returned, will serve as a certification of liability waiver and release for the person listed below (“Participant”), who will participate in the South America trip, Fall 2014, (the “Event”) organized and led by eGlobal Education, LLC, a Colorado limited liability company (the “Company”).

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, foreseeable and unforeseeable, arising out of my participation in or proximity to all activities taking place during the Event.  I acknowledge that my participation in the Event entails known and unanticipated risks which could result in physical or emotional injury, paralysis, death, damage to myself, to property, or to third parties. I understand that such risks simply cannot be eliminated without jeopardizing the essential qualities of the activity.  I fully understand and appreciate the dangers, hazards and risks inherent in participating in the Event and in the transportation to and from the Event.

On behalf of myself, my representatives, heirs, executors and administrators, I understand, acknowledge and do hereby agree to hold harmless, release, waive, and indemnify eGlobal Education, LLC and its members, managers, officers, representatives, agents, and any other person or entity associated with the Event (“Released Parties”), from any and all liability, claims or actions of any kind whatsoever, for any matter, cause or thing arising out of my participation in the Event (including, without limitation, claims, costs, injuries, losses and damages related to personal injuries, death, damage to, loss or destruction of property) (“Released Claims”).  This Agreement includes, but is not limited to, claims of negligence and breach of warranty, but does not apply to claims that, if released, would be inconsistent with public policy including willful and wanton negligence.  I acknowledge that this Agreement applies to claims regardless of whether caused by the negligence of others, accidents, forces of nature or other causes.

I certify that I have adequate insurance to cover any injury or damage I may cause or suffer while participating, or else I agree to bear the costs of such injury or damage myself. I further certify that I have no medical or physical conditions which could interfere with my safety in this activity, or else I am willing to assume —and bear the costs of—all risks that may be created, directly or indirectly, by any such condition.  I have been advised to consult with a medical doctor with regard to my personal medical needs. I have obtained the required immunizations, if any. I recognize that the Company is not obligated to attend to any of my medical or medication needs, and I assume all risk and responsibility. I agree to pay all expenses relating thereto.

I agree agrees to hold harmless and indemnify the Released Parties from all of the Released Claims brought against them by or on behalf of anyone, including the Participant(s), and from all attorneys’ fees and costs relating to such claims.
This Agreement shall be binding to the fullest extent allowed by law.  If any part of this Agreement is deemed to be unenforceable, the remaining terms shall survive and shall be enforceable between the parties.  This Agreement shall be governed by and construed in accordance with the laws of the State of Colorado without regard to any conflict of laws principle that would cause this Agreement to be construed in accordance with the laws of any other state.
I have read and understood the above Waiver and Release of Liability and Indemnification Agreement.

Printed Name and Address: ____________________________________________________________

Signature: ________________________________ Date: _____________

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