Early Termination of Participation. I understand and agree that should I choose to leave the internship early, or am required to leave the program early; that all loss and costs thus incurred, including cost of travel, will be at my expense; and that I will not be eligible for any refunds. I acknowledge that
Early Termination of Participation. I understand and agree that should I choose to leave the program early, or am required to leave the program early; that all loss and costs thus incurred, including cost of travel, will be at my expense; and that I will not be eligible for any refunds. I acknowledge that
Early Termination of Participation. I understand and agree that should I choose to leave the internship early, or am required to leave the program early; that all loss and costs thus incurred, including cost of travel, will be at my expense; and that I will not be eligible for any refunds. I acknowledge that If any single provision of this agreement is determined to be invalid or unenforceable, the remainder of this agreement shall continue to be in effect. Because Houghton College is headquartered in Houghton, NY, and in order to provide certainty in the law to be applied to the construction of this agreement, this agreement shall be governed, construed, and enforced in accordance with the laws of the State of New York. On behalf of myself, my personal representatives, heirs, and assigns, I hereby release and discharge Houghton College from any claims, demands, injuries, damages, actions, or causes of action, arising from or related to any acts of active or passive negligence on the part of Houghton College and/or its officers, employees or agents. I understand the legal consequences of signing this document, including (a) releasing the College from all liability, (b) promising not to sue the University, (c) and assuming all risks of participating in the internship, including travel to, from, and during the internship. I affirm that on the date I signed this agreement (check one): _________ I am at least 21 years of age _________ I am under 21 (Parental signature required if student is under 18, encouraged for all students under 21-unless financial independence is proven.) ______________________ _________________________________ ___________ Printed Name Student Signature (required) Date As parent or legal guardian of the above named individual, I verify that I fully understand, agree to, and accept all provisions of this document. ______________________ __________________________________ ____________ Printed Name (parent/guardian) Signature (parent/guardian) Date Drop off, mail, fax or scan physically signed copy of this form to Xxxxxx Xxxxx in the Center for Student Success, Xxxxxxxxxxx Center first floor. Xxx Xxxxxxx Xxxxxx, Houghton NY 14744 Xxxxxx.Xxxxx@xxxxxxxx.xxx
