Fields marked with an asterisk (*) are required.
  • Whereas, as part of the above-named program, which is an AAP graduate program of the Johns Hopkins University (“the University”), I have an opportunity to participate in one or more field trips; as a condition of such participation I agree as follows:

    • I understand and appreciate the risks inherent in travel of the nature of the field trip(s), and
    • I voluntarily and knowingly assume those risks.

    I release JHU, its employees, officers, Trustees, Directors and assigns from any liability for any injury or loss I might incur in connection with the trip(s). I, for myself, my heirs, executors and administrators, waive and release forever any and all rights for claims and damages I may have against the Johns Hopkins University, its trustees, officers, employees and agents, including the staff members and supervisors, in any manner due to any personal injury or property loss sustained by me as a result of my traveling to and from the field trip destination(s) and/or my participation in the activities associated with the field trip(s), including any activities I may engage in during my free time while participating on the field trip(s). I agree to follow the standards established for the conduct of the participants in the trip(s) or instructions of the University staff members on the trip(s). I understand that I will be responsible for my own welfare and safety.

  • Emergency Contact

    Your emergency contact cannot be yourself, but it does not have to be next of kin.

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