I have or will secure health insurance to provide adequate coverage for any injuries or illnesses that I may sustain or experience while participating in the Program. By my signature below, I certify that I have confirmed that my health care coverage will adequately cover me while outside the United States, and hereby release the Commonwealth of Virginia, the College, and the employees and agents of either, from any responsibility or liability for expenses incurred by me for injuries or illnesses (including death) that I may incur because of those injuries or illnesses.

I understand that, although the College will attempt to maintain the Program as described in its publications and brochures, it reserves to the right to change the Program, including the itinerary, travel arrangements, or accommodations, at any time and for any reason, with or without notice, and that neither the Commonwealth of Virginia, nor the College, or the employees and agents of either, shall be responsible or liable for any expenses or losses that I may sustain because of these changes.

I understand that the College reserves the right to decline to retain me in the Program at any time should by actions or general behavior, in the sole discretion of the College be determined to impede or obstruct the progress of the Program in any way.

I understand that, although the College has made every reasonable effort to assure my safety while participating in the Program, that there are unavoidable risks in travel overseas, and I hereby release and promise not to sue the Commonwealth of Virginia, the College or the employees and agents of either, for any damages or injury (including death) caused by, deriving from, or associated with my participation in the Program, except for such damages or injury as may be caused by the gross negligence or willful misconduct of the employees or agents of the College.

I agree that, should any provision or aspect of this agreement be found to be unenforceable, that all remaining provisions of the agreement will remain in full force and effect.

I represent that my agreement to the provisions herein is wholly voluntary, and further understand that, prior to signing this agreement, I have the right to consult with the adviser, counselor or attorney of my choice.

I agree that, should there by any dispute concerning my participation in the Program that would require the adjudication of a court of law, such adjudication will occur in the courts of, and be determined by the laws of the Commonwealth of Virginia.

This agreement represents my complete understanding with the College concerning the College's responsibility and liability for my participation in the program, supersedes and previous or contemporaneous understandings I may have had with the College on this subject, whether written or oral, and cannot be changed or amended in any way without my written concurrence.

I represent that I am at least eighteen years of age or, if not, that I have secured below the signature of my parent or guardian as well as my own.