Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired all immunizations recommended by the U.S. Center for Disease Control and all other inoculations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activities. b. I have or will secure health insurance through UNCW to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW is not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW is not responsible for the quality of such treatment or care. c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health of others associated with the program. d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW is not obligated to attend to my medical or medication needs. e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW will not be responsible for the health risks, injuries, damages or loss beyond its direct control. f. I agree that if I am injured or become ill, UNCW or its agents may secure hospitalization and/or medical treatment for me and I agree to pay all expenses related thereto. I further agree that UNCW or its agents may release information to other persons who may need this information to assist me or to assist others in the program. g. I hereby release UNCW from all liability for any of its actions or its agents actions related to the activities listed above.
Appears in 2 contracts
Health and Medical Issues. a. A. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visitingplan to visit. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study travel abroad travel and activities.
b. B. I have or will secure health insurance through UNCW as required by CPCC to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW CPCC is not obligated to provide or pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the programProgram. I further understand that UNCW CPCC is not responsible for the quality of such treatment or care.
c. C. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. By my signature below, I certify that (i) I am medically able and capable to participate in the programProgram, in the activities associates associated with the program Program, and in the travel incident to the program. I certify that Program; (ii) there are no health- related reasons or problems which would materially adversely affect my ability to participate in the Program; (iii) I do not have a medical condition which that would endanger the health of myself or others associated with the programProgram; and (iv) I will notify the Program staff of any health concerns that may arise before and/or during the Program.
d. D. I am aware of all of my personal medical needs needs, and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW CPCC is not obligated to attend to my medical or medication needs.
e. E. I understand that there are health risks associated with the program Program and travel activities. I further understand that UNCW CPCC will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. F. I agree that if I am injured or become ill, UNCW CPCC or its agents may secure hospitalization and/or medical treatment for me me, and I agree to pay all expenses related thereto. I further agree that UNCW CPCC or its agents may release information to other persons who may need this information to assist me or to assist others in the programProgram.
g. G. I hereby release UNCW from all liability understand and agree that CPCC has the right to terminate my participation or deny my acceptance in the Program if health concerns warrant such action, in the sole and absolute discretion of CPCC. Notwithstanding anything contained herein to the contrary, if CPCC has reason to believe that a student has failed to disclose any medical or psychological condition that may materially adversely affect such student’s ability to participate in the Program and/or endanger the health of the student or others associated with the Program, then CPCC shall have the right to deny such student’s acceptance into the Program.
H. I certify that the health information provided below is true and correct to the best of my knowledge. I understand that CPCC will not use this health information for any improper purpose or disclose this information to any third party except as is necessary to protect the health and safety of its actions the participants in the Program. Are you currently receiving any medical or its agents actions related to the activities listed abovepsychological care of any kind or nature? Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator. Is there anything in your medical or psychological history about which we should be aware, or which may affect your participation in this Program? (e.g. allergy shots, chronic condition, psychological disorder) Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator.
Appears in 1 contract
Samples: Terms and Conditions Agreement
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired acquire all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activitiesaccordingly.
b. I have or will secure understand that health insurance through UNCW to cover my travel and study abroad activitiesfor June 15-27, 2019 is included in the program fee. (Alternatively I have or will secure Extended health insurance compatible to that offered by coverage may be purchased for travel beyond the University.) official program dates. I understand that UNCW is Go Global NC and its co- sponsors are not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW is Go Global NC and its co-sponsors are not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates associated with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health of others associated with the program.
d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW is Go Global NC and its co-sponsors are not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW Go Global NC and its co-sponsors will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. I agree that if I am injured or become ill, UNCW Go Global NC and its co-sponsors or its their agents may secure hospitalization and/or medical treatment for me and I agree to pay all expenses related thereto. I further agree that UNCW Go Global NC and its co-sponsors or its their agents may release information to other persons who may need this information to assist me or to assist others in the program.
g. I hereby release UNCW Go Global NC and its co-sponsors from all liability for any of its their actions or its agents their agents’ actions related to the activities listed above.
Appears in 1 contract
Samples: Participant Agreement
Health and Medical Issues. a. A. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visitingplan to visit. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study travel abroad travel and activities.
b. B. I have or will secure health insurance through UNCW as required by CPCC to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW CPCC is not obligated to provide or pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the programProgram. I further understand that UNCW CPCC is not responsible for the quality of such treatment or care.
c. C. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. By my signature below, I certify that (i) I am medically able and capable to participate in the programProgram, in the activities associates associated with the program Program, and in the travel incident to the program. I certify that Program; (ii) there are no health- related reasons or problems which would materially adversely affect my ability to participate in the Program; (iii) I do not have a medical condition which that would endanger the health of myself or others associated with the programProgram; and (iv) I will notify the Program staff of any health concerns that may arise before and/or during the Program.
d. D. I am aware of all of my personal medical needs needs, and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW CPCC is not obligated to attend to my medical or medication needs.
e. E. I understand that there are health risks associated with the program Program and travel activities. I further understand that UNCW CPCC will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. F. I agree that if I am injured or become ill, UNCW CPCC or its agents may secure hospitalization and/or medical treatment for me me, and I agree to pay all expenses related thereto. I further agree that UNCW CPCC or its agents may release information to other persons who may need this information to assist me or to assist others in the programProgram.
g. G. I hereby release UNCW from all liability understand and agree that CPCC has the right to terminate my participation or deny my acceptance in the Program if health concerns warrant such action, in the sole and absolute discretion of CPCC. Notwithstanding anything contained herein to the contrary, if CPCC has reason to believe that a student has failed to disclose any medical or psychological condition that may materially adversely affect such student’s ability to participate in the Program and/or endanger the health of the student or others associated with the Program, then CPCC shall have the right to deny such student’s acceptance into the Program.
H. I certify that the health information provided below is true and correct to the best of my knowledge. I understand that CPCC will not use this health information for any improper purpose or disclose this information to any third party except as is necessary to protect the health and safety of its actions the participants in the Program. Are you currently receiving any medical or its agents actions related to the activities listed abovepsychological care of any kind or nature? List all medications you are currently taking. Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator. Is there anything in your medical or psychological history about which we should be aware, or which may affect your participation in this Program? (e.g. allergy shots, chronic condition, psychological disorder) Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator.
Appears in 1 contract
Samples: Agreement to Terms and Conditions
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired acquire all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activitiesaccordingly.
b. I have or will secure understand that health insurance through UNCW to cover my travel and study abroad activitiesSeptember 8-17, 2017, is included in the program fee. (Alternatively I have or will secure Extended health insurance compatible to that offered by coverage may be purchased for travel beyond the University.) official program dates. I understand that UNCW is Go Global NC, LNC and their co-sponsors are not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW is Go Global NC, LNC and their co-sponsors are not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates associated with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health of others associated with the program.
d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW is Go Global NC, LNC and their co- sponsors are not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW Go Global NC, LNC and their co-sponsors will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. I agree that if I am injured or become ill, UNCW Go Global NC, LNC and their co-sponsors or its their agents may secure hospitalization and/or medical treatment for me and I agree to pay all expenses related thereto. I further agree that UNCW Go Global NC, LNC and their co- sponsors or its their agents may release information to other persons who may need this information to assist me or to assist others in the program.
g. I hereby release UNCW Go Global NC, LNC and their co-sponsors from all liability for any of its their actions or its agents their agents’ actions related to the activities listed above.
Appears in 1 contract
Samples: Participant Agreement
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired acquire all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activitiesaccordingly.
b. I have or will secure understand that health insurance through UNCW to cover my travel and study abroad activitiesfor June 18-30, 2020, is included in the program fee. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW is Go Global and its co-sponsors are not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW is Go Global NC and its co-sponsors are not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates associated with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health of others associated with the program.
d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW is Go Global and its co- sponsors are not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW Go Global NC and its co-sponsors will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. I agree that if I am injured or become ill, UNCW Go Global NC and its co-sponsors or its their agents may secure hospitalization and/or medical treatment for me and I agree to pay all expenses related thereto. I further agree that UNCW Go Global and its co-sponsors or its their agents may release information to other persons who may need this information to assist me or to assist others in the program.
g. I hereby release UNCW Go Global NC and its co-sponsors from all liability for any of its their actions or its agents their agents’ actions related to the activities listed above.
Appears in 1 contract
Samples: Participant Agreement
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses, including some for which immunizations may not be available. I have or will have acquired been counseled about all immunizations recommended by the U.S. United States Center for Disease Control & Prevention (CDC) and I have acquired all immunizations recommended; or fully accept responsibility if I chose to not comply with recommendations by the CDC, as well as, all other inoculations available immunizations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activities.
b. I have or will secure health insurance through UNCW the University to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW the University is not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW the University is not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates associated with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health and safety of myself and others associated with the program.
d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW the University is not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW the University will not be responsible for the health risks, injuries, damages or loss beyond its direct controlloss.
f. I understand that in the event of an epidemic or pandemic (e.g., avian influenza), the ability of health care entities and professionals to provide services may be substantially impaired, and that other entities or institutions may be compromised in their ability to provide services I might need. I understand that the University has no control over such circumstances, and I assume the risks that may be presented in such a situation.
g. I agree that if I am injured or become ill, UNCW the University or its agents may secure hospitalization and/or medical treatment for me me, and I agree to pay all expenses related thereto. I further agree that UNCW the University or its agents may release information to other persons who may need this information to assist me or to assist others in the program.
g. h. I hereby release UNCW the University from all liability for any of its actions or its agents actions related to the activities listed above.
Appears in 1 contract
Samples: Participant Agreement
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired acquire all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visiting. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activitiesaccordingly.
b. I have or will secure understand that health insurance through UNCW to cover my travel and study abroad activitiesMarch 10-18, 2018, is included in the program fee. (Alternatively I have or will secure Extended health insurance compatible to that offered by coverage may be purchased for travel beyond the University.) official program dates. I understand that UNCW is Go Global NC and their co-sponsors are not obligated to pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the program. I further understand that UNCW is Go Global NC and their co- sponsors are not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the program, in the activities associates associated with the program and in the travel incident to the program. I certify that I do not have a medical condition which would endanger the health of others associated with the program.
d. I am aware of all of my personal medical needs and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW is Go Global NC and their co- sponsors are not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program and travel activities. I further understand that UNCW Go Global NC and their co-sponsors will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. I agree that if I am injured or become ill, UNCW Go Global NC and their co-sponsors or its their agents may secure hospitalization and/or medical treatment for me and I agree to pay all expenses related thereto. I further agree that UNCW Go Global NC and their co-sponsors or its their agents may release information to other persons who may need this information to assist me or to assist others in the program.
g. I hereby release UNCW Go Global NC and their co-sponsors from all liability for any of its their actions or its agents their agents’ actions related to the activities listed above.
Appears in 1 contract
Samples: Self Pay Participant Agreement
Health and Medical Issues. a. I understand that travel abroad may expose me to certain conditions, diseases diseases, or illnesses. I have or will have acquired all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visitingplan to visit. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study abroad travel and activities.
b. I have or will secure health insurance through UNCW the University to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW the University is not obligated to provide or pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the programProgram. I further understand that UNCW the University is not responsible for the quality of such treatment or care.
c. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. I certify that I am medically able and capable to participate in the programProgram, in the activities associates associated with the program Program, and in the travel incident to the programProgram. I certify that I do not have a medical condition which that would endanger the health of others associated with the programProgram.
d. I am aware of all of my personal medical needs needs, and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW the University is not obligated to attend to my medical or medication needs.
e. I understand that there are health risks associated with the program Program and travel activities. I further understand that UNCW the University will not be responsible for the health risks, injuries, damages damages, or loss beyond its direct control.
f. I agree that if I am injured or become ill, UNCW the University or its agents may secure hospitalization and/or medical treatment for me me, and I agree to pay all expenses related thereto. I further agree that UNCW the University or its agents may release information to other persons who may need this information to assist me or to assist others in the programProgram.
g. I hereby release UNCW the University from all liability for any of its actions or its agents agents’ actions related to the activities listed above.
Appears in 1 contract
Health and Medical Issues. a. A. I understand that travel abroad may expose me to certain conditions, diseases or illnesses. I have or will have acquired all immunizations recommended by the U.S. Center Centers for Disease Control and all other inoculations necessary for safe travel in the areas I am visitingplan to visit. I agree to make reasonable efforts to acquaint myself with the health factors and issues endemic to these areas and to prepare myself accordingly for my study travel abroad travel and activities.
b. B. I have or will secure health insurance through UNCW as required by Central Piedmont to cover my travel and study abroad activities. (Alternatively I have or will secure health insurance compatible to that offered by the University.) I understand that UNCW Central Piedmont is not obligated to provide or pay for medical treatment or hospital care in a foreign country or in the U.S. during my participation in the programProgram. I further understand that UNCW Central Piedmont is not responsible for the quality of such treatment or care.
c. C. I have consulted with a medical doctor or comparable health care provider with regard to my personal medical status and needs. By my signature below, I certify that that
(i) I am medically able and capable to participate in the programProgram, in the activities associates associated with the program Program, and in the travel incident to the program. I certify that Program; (ii) there are no health-related reasons or problems which would materially adversely affect my ability to participate in the Program; (iii) I do not have a medical condition which that would endanger the health of myself or others associated with the programProgram; and (iv) I will notify the Program staff of any health concerns that may arise before and/or during the Program.
d. D. I am aware of all of my personal medical needs needs, and I certify that I am capable of and prepared to deal with those needs. I understand that UNCW Central Piedmont is not obligated to attend to my medical or medication needs.
e. E. I understand that there are health risks associated with the program Program and travel activities. I further understand that UNCW Central Piedmont will not be responsible for the health risks, injuries, damages or loss beyond its direct control.
f. F. I agree that if I am injured or become ill, UNCW Central Piedmont or its agents may secure hospitalization and/or medical treatment for me me, and I agree to pay all expenses related thereto. I further agree that UNCW Central Piedmont or its agents may release information to other persons who may need this information to assist me or to assist others in the programProgram.
g. G. I hereby release UNCW from all liability understand and agree that Central Piedmont has the right to terminate my participation or deny my acceptance in the Program if health concerns warrant such action, in the sole and absolute discretion of Central Piedmont. Notwithstanding anything contained herein to the contrary, if Central Piedmont has reason to believe that a student has failed to disclose any medical or psychological condition that may materially adversely affect such student’s ability to participate in the Program and/or endanger the health of the student or others associated with the Program, then Central Piedmont shall have the right to deny such student’s acceptance into the Program.
H. I certify that the health information provided below is true and correct to the best of my knowledge. I understand that Central Piedmont will not use this health information for any improper purpose or disclose this information to any third party except as is necessary to protect the health and safety of its actions the participants in the Program. Are you currently receiving any medical or its agents actions related to the activities listed abovepsychological care of any kind or nature? List all medications you are currently taking. Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator. Is there anything in your medical or psychological history about which we should be aware, or which may affect your participation in this Program? (e.g. allergy shots, chronic condition, psychological disorder) Yes No If yes, please explain below. Please note that this information will be shared with our on-site coordinator.
Appears in 1 contract
Samples: Agreement to Terms and Conditions