Florida Atlantic University Ver. 11/18/2025

Conditions of Participation Agreement, Assumption of Risks, and Release of Liability

Participant Name: ______________________________

University Related Travel Abroad:___________________________

Location(s): ______________________

Travel Period (dates): _____________________

As a participant seeking to voluntarily participate in the University-Related Travel Abroad (hereinafter,

“Travel Abroad”) listed above, I acknowledge the risk inherent in international travel, and I understand

and agree that by participating in this program, I will be in contact with entities and individuals abroad

that are not within the care, custody or control of Florida Atlantic University. In consideration of being

allowed to participate in the Travel Abroad, I, on behalf of myself and my heirs, assigns, executors,

administrators, and next of kin (“Related Persons”), hereby acknowledge and agree as follows:

I fully understand and knowingly and voluntarily assume all risks related to the Travel Abroad listed above,

which may include an increased risk of exposure to illness, infectious diseases, personal injury, disability,

other short-term or long-term health effects, possible kidnapping and/or death, which might result from

the actions, inactions, or negligence of me, any of the Released Parties (as defined below), or other third

parties. I accept personal responsibility for any and all damages, liability, and other losses that I or any of

my Related Persons may incur in connection with the foregoing risks.

I acknowledge that it is my responsibility to read, understand, and comply with all applicable Travel

Advisories issued by the United States Department of State (http://travel.state.gov). I understand and

acknowledge that the Travel Abroad is a purely optional activity in which I am freely and voluntarily

participating; that I will receive no penalty from Florida Atlantic University for not participating; and that

I am in no way required by the Florida Atlantic University to participate in the Travel Abroad.

ON BEHALF OF MYSELF AND EACH OF MY RELATED PERSONS, I HEREBY KNOWINGLY, VOLUNTARILY,

IRREVOCABLY, AND FOREVER RELEASE, INDEMNIFY, DEFEND, AND HOLD HARMLESS (AND COVENANT

NOT TO SUE) THE FLORIDA ATLANTIC UNIVERSITY BOARD OF TRUSTEES, THE FLORIDA BOARD OF

GOVERNORS, THE STATE OF FLORIDA AND THEIR RESPECTIVE OFFICERS, DIRECTORS, MEMBERS,

MANAGERS, AGENTS, EMPLOYEES AND LEGAL REPRESENTATIVES (“RELEASED PARTIES”) FROM (OR WITH

RESPECT TO) ANY AND ALL CLAIMS, SUITS, CAUSES OF ACTION, AND CLAIMS FOR DAMAGES, WHETHER

PAST, PRESENT, OR FUTURE, AND WHETHER KNOWN OR UNKNOWN, INCLUDING, BUT NOT LIMITED TO,

CLAIMS ARISING OUT OF OR IN CONNECTION WITH MY DEATH, PERSONAL INJURY, ILLNESS, DISABILITY,

SUFFERING OF SHORT-TERM OR LONG-TERM HEALTH EFFECTS, OR LOSS OF OR DAMAGE TO PROPERTY,

WHICH I OR ANY OF MY RELATED PERSONS MAY HAVE OR HEREAFTER ACCRUE AGAINST ANY OF THE

RELEASED PARTIES AS A RESULT OF OR THAT RELATE IN ANY WAY TO MY TRAVEL TO AND FROM OR

PARTICIPATION IN THE TRAVEL ABROAD IDENTIFIED ABOVE, WHETHER CAUSED BY ANY ACTION,

INACTION, OR NEGLIGENCE OF ANY RELEASED PARTY OR OTHERWISE.

Notwithstanding the foregoing, nothing herein shall limit or waive my rights to workers compensation or

other related benefits, as applicable, pursuant to Florida law.

Travel Health, Safety, and Security

Florida Atlantic University Ver. 11/18/2025

I further understand that it is my responsibility to know the terms and limitations of my international

medical insurance through Cultural Insurance Services International (CISI)

(https://www.fau.edu/goabroad/pdf/CISI2020Policy.pdf), required by Florida Atlantic University, or any

other approved international medical insurance, and I agree that I am solely responsible for any costs not

covered by my medical insurance. I also understand that it is my responsibility to know the terms and

limitations to any travel or flight insurance I purchase on my own and that it is recommended that I

consider the purchase of travel or flight insurance. In an effort to support my health, safety, and security

during my participation in the Travel Abroad, I am expected to download and activate the Crisis24 Horizon

mobile app or other app specified, which provides important safety information as needed.

I acknowledge and agree that it is my responsibility to review the warnings and recommendations from

the Centers for Disease Control and Prevention (www.cdc.gov), the State Department

(https://travel.state.gov/content/travel/en/traveladvisories/traveladvisories.html, and the World Health

Organization (www.who.int). I also acknowledge that it is recommended that I consult a medical

professional prior to making travel/program commitments so that I can have my overall health evaluated

and understand any risk associated with my specific health conditions. I further acknowledge that I must

enroll in the U.S. Department of State’s Smart Traveler Enrollment Program (STEP).

I acknowledge that vaccinations may be required by the host country, host institution, and/or

international travel providers, I may be required to quarantine once I arrive at my destination, and it is

my personal and financial responsibility to complete quarantine.

Rules Related to Travel Abroad

I also acknowledge and agree that I have read, understand, and will comply with guidance published by

Florida Atlantic University that relates to countries under sanctions or other restrictions of the state or

the United States government, including any federal license requirement; security clearance

requirements; customs rules; export controls; restrictions on taking state university or entity property,

including intellectual property, abroad; restrictions on presentations, teaching, and interactions with

foreign colleagues; and other subjects important to the research and academic integrity of Florida Atlantic

University. I will also report any criminal activity or if I believe I have been subjected to foreign influence

activities to the Florida Atlantic Police Department upon my return.

I will comply with all Florida Atlantic University rules, regulations, policies, and procedures relating to

Travel Abroad, I will not violate Florida Atlantic University’s limitations on travel and activities abroad, and

I will obey all applicable state and federal laws. I acknowledge that I have reviewed and understand this

Conditions of Participation Agreement, Assumption of Risks, and Release of Liability, and that I

understand and assume the risks associated with my participation in the Travel Abroad, and agree that

this document constitutes an agreement that legally binds me and my Related Persons.

_________________________________ ___________________________

Signature of Participant Date

_________________________________

Printed Name of Participant

Florida Atlantic University Ver. 11/18/2025

**If Participant is under 18 years of age, the Participant’s parent or legal guardian must agree and sign as

follows: I have reviewed and understand this Conditions of Participation Agreement, Assumption of

Risks, and Release of Liability, and understand and assume the risks associated with my child’s

participation in the Travel Abroad, and agree that this document constitutes an agreement that legally

binds me and my child, and our heirs, assigns, and estates.

__________________________________________ ___________________________

Signature of Participant’s Parent/Legal Guardian Date

______________________________________

Printed Name of Participant’s Parent/Legal Guardian