This is a legally binding release made by participant, who hereby declares to be 18 year
old or older. The term "Undersigned" is used in this agreement as pertaining to more than
one person.
I. PROGRAM
Participant desires to take part in the following program.
Name of Program: Rome Institute of Liberal Arts (hereafter, RILA)
II. WAIVER
The Undersigned fully understands that there are certain dangers, hazards, and risks
inherent in international travel, and have signed this document in full recognition and
appreciation of the dangers of these activities, which dangers include, but are not limited
to, physical injuries (minimal, serious, catastrophic) and/or property loss or damage.
The Undersigned therefore agrees to assume and take on all responsibilities in any
activities associated with RILA's program in Italy. In consideration of, and in return for,
the service, facilities and other assistance provided to participants by
RILA (and their governing boards, employees, and agents) I, along with any of my
assignees, heirs, distributes, parents/guardians, and legal representatives release RILA
and its Italian institutions from any and all liability, claims and actions that may arise
from injury, harm or death to the Undersigned and from loss or damage to the
Undersigned's property in connection with these activities. The Undersigned understands
that this release covers liability, claims and actions caused entirely or in part by any acts
or failure to act by RILA, including but not limited to negligence, mistake, or failure to
supervise by the RILA or any of their employees, agents, or contractors.
III. HEALTH INSURANCE AND MENTAL HEALTH CONDITIONS
a. MEDICAL INSURANCE
It is important to realize that most U.S. insurance coverage is not recognized overseas.
The student will normally pay for medical service and fill out a claim form for be
returned to the home company for reimbursement. It is imperative for students to know
the limits of their coverage and to carry at least one claim form to be signed by the
appropriate medical persons abroad to facilitate reimbursement. Students may wish to
purchase emergency evacuation and repatriation insurance before they begin their
program abroad. It is the student’s responsibility to insure that he/she has health and/or
hospitalization insurance, which is applicable in countries other than the United States.
b. ACCESS TO MENTAL HEALTH TREATMENT
RILA does not employ or retain mental health professionals abroad. If a student is
experiencing emotional or other personal problems that may require medical or mental
health treatment, the student should consult with their current mental health provider
prior to engaging in RILA’s programs to discuss the potential stress of studying abroad.
The student should know that mental health treatment and prescription medicine may not
be as easily accessible in Italy as it is in the United States. RILA strongly urges the
students to bring any prescription medications they expect to need with them to Italy.
IV. PHOTOGRAPH RELEASE
By signing this form, I hereby grant full and irrevocable consent to release, at any time,
present or future, any voice recordings, photographs and/or video footage, for
commercial and art purposes in any advertising, communication, publication or publicity
related to RILA, alone or with other persons, objects or text material, and either with or
without name recognition.
V. CONDUCT / BEHAVIOR RELEASE
I understand that as a student attending a RILA program, I represent my home institution
and will behave as an ambassador for this institution. Therefore, all policies governing
behavior as printed in my home institution's Student Code of Conduct apply to me during
my participation in the RILA program. I understand that RILA must take steps to ensure
that no offensive, disruptive or potentially dangerous conduct occurs. Accordingly, RILA
reserves the right to dismiss a student from the program on the basis of any observed
conduct or behavior that causes concern for the safety and well being of students or
others. The Director and/or Administrative Director of RILA shall have the authority to
make the final decision on a participant's dismissal from the program. Misconduct
includes actions that violate school regulations or Italian law, or in the judgment of RILA
officials, jeopardize the welfare of that student, other individuals or the program. It is
understood that no refund of tuition, fees or rent will be given if a student is dismissed
from the program. Such actions include, but are not limited to, the following:
Excessive unauthorized absence from class and/or other organized program activities
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The use of threats or physical violence
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Violation of Italian laws
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Violation of the school or housing regulations
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Damage to or destruction of school, residence, or student property
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Alcohol or substance abuse
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Reckless or dangerous behavior
I, the Undersigned, have carefully read this release and fully understand its contents. I am
aware that this is a Release of Liability and a Contract between me and RILA, and sign it
of my own free will.