%PDF-1.3 %忏嫌 1 0 obj << /Producer (OmniForm Converter for PDF) /Creator (OmniForm) >> endobj 4 0 obj [ /PDF /Text ] endobj 6 0 obj << /Length 7 0 R >> stream BT /F0 14 Tf 0 g 235.68 709.166 Td 99 Tz (午夜影院) Tj -73.922 -18.485 Td /F0 16 Tf (Assumption of Risk and Release Form) Tj /F1 12 Tf -70.798 -57.095 Td (Name of Applicant:) Tj 0 -27.36 Td 97 Tz (Date of Birth:) Tj 2.639 -13.68 Td 99 Tz (\(If Applicant is under 18 years of age, a parent or legal guardian must also read and sign) Tj -3.12 -13.92 Td 92 Tz (this form.\)) Tj -0.238 -27.36 Td 99 Tz (Study Abroad Program:) Tj -0.24 -27.598 Td 106 Tz (Study Abroad provides unique opportunities for academic achievement and personal) Tj -0.479 -13.92 Td 108 Tz (growth. Study Abroad also entails special risks. Please discuss both aspects of your) Tj -0.24 -13.92 Td (prospective study abroad experience with a study abroad advisor. This release form) Tj 0.24 -13.92 Td 100 Tz (specifies certain areas of risk that you should know about before you decide to participate) Tj 0.238 -13.92 Td 99 Tz (in a study abroad program.) Tj -0.479 -27.116 Td (I hereby agree as follows:) Tj 1.199 -27.36 Td 106 Tz (1. RISKS OF STUDY ABROAD: I understand that participation in the University of) Tj 16.8 -11.282 Td 99 Tz (Missouri-) Tj 160.8 -2.639 Td 116 Tz (Study Abroad Program specified above \(''the) Tj -160.8 -13.68 Td 101 Tz (Program''\) may involve risks not found in study at the 午夜影院. These) Tj -0.24 -13.68 Td 105 Tz (risks include, but are not limited to those risks involved in traveling to and within,) Tj 0.24 -13.68 Td 101 Tz (and returning from, one or more foreign countries; foreign political, legal, social, and) Tj -0.24 -13.68 Td 111 Tz (economic conditions; different standards of design, safety and maintenance of) Tj -0.238 -13.68 Td 102 Tz (buildings, public places and conveyances; local medical and weather conditions; and) Tj 0 -13.68 Td 107 Tz (other matters described on a separate Program Risk form which I have received,) Tj 0 -13.68 Td 101 Tz (reviewed, and initialed, and which is incorporated by reference in this Release Form.) Tj -0.24 -13.68 Td 100 Tz (I have made my own investigation and am willing to accept these risks.) Tj -18 -27.6 Td 106 Tz (2. INSTITUTIONAL ARRANGEMENTS: I understand that the University does not) Tj 17.759 -13.439 Td 102 Tz (represent or act as an agent for, and cannot control the acts or omissions of, any host) Tj 0.482 -13.68 Td (institution, host family, transportation carrier, hotel, tour organizer or other provider) Tj -0.482 -13.68 Td 99 Tz (of goods or services involved in the Program.) Tj -18 -27.839 Td 107 Tz (3. LIMITS OF UNIVERSITY RESPONSIBILITY: I understand that the University) Tj 17.762 -13.442 Td 97 Tz (cannot:) Tj 0 -27.839 Td 99 Tz (a\) Guarantee the safety of participants or eliminate risk from the study abroad) Tj 0 -13.68 Td 98 Tz (environment.) Tj -0.72 -27.6 Td 99 Tz (b\) Monitor or control all the daily personal decisions, choices, and activities of) Tj 0.72 -13.92 Td (individual participants.) Tj -0.482 -27.839 Td (c\) Prevent participants from engaging in illegal, dangerous or unwise activities.) Tj /F1 9 Tf -80.291 -44.385 Td 103 Tz (UM 53 \(MAR 99\)) Tj ET .50 w 0 G 2 J 455.664 630.819 m 202.465 630.819 l S 2 J 455.729 607.218 m 202.530 607.218 l S 2 J 458.399 549.119 m 205.2 549.119 l S 2 J 257.04 397.199 m 154.08 397.199 l S endstream endobj 7 0 obj 3258 endobj 5 0 obj << /Type /Page /Parent 3 0 R /Resources << /ProcSet [ /PDF /Text ] /Font << /F0 8 0 R /F1 11 0 R >> >> /MediaBox [ 0 0 612 792 ] /Contents 6 0 R /Annots 18 0 R >> endobj 14 0 obj << /Type /Annot /Subtype /Widget /Rect [ 202 631 456 647 ] /T (FillText6) /FT /Tx /DA (/TiRo 12 Tf 0 g) /Maxlen 16000 /F 4 >> endobj 15 0 obj << /Type /Annot /Subtype /Widget /Rect [ 203 607 456 623 ] /T (FillText7) /FT /Tx /DA (/TiRo 12 Tf 0 g) /Maxlen 16000 /F 4 >> endobj 16 0 obj << /Type /Annot /Subtype /Widget /Rect [ 205 549 458 565 ] /T (Study_Abroad_Program) /FT /Tx /DA (/TiRo 12 Tf 0 g) /Maxlen 16000 /F 4 >> endobj 17 0 obj << /Type /Annot /Subtype /Widget /Rect [ 154 397 257 411 ] /T (FillText2) /FT /Tx /DA (/TiRo 10 Tf 0 g) /Maxlen 16000 /F 4 >> endobj 18 0 obj [ 14 0 R 15 0 R 16 0 R 17 0 R ] endobj 21 0 obj << /Length 22 0 R >> stream 1 w 0 G 0 J 0.72 792 m 0.72 755.52 l S BT /F1 12 Tf 0 g 106.8 713.747 Td 99 Tz (d\) Assure that US standards of due process apply or provide or pay for legal) Tj -0.24 -13.68 Td (representation for participants.) Tj 0.24 -28.08 Td (e\) Assume responsibility for the actions of persons not employed or otherwise) Tj 0 -13.68 Td 100 Tz (engaged by the University, for events that are beyond the control of the University) Tj 0 -13.68 Td (and its subcontractors, or for situations which arise from the failure of a participant to) Tj -0.482 -13.68 Td 99 Tz (disclose pertinent information.) Tj 0 -29.04 Td (f\) Assure that home-country cultural values will apply on the program when these) Tj -0.238 -12.48 Td (differ from those of the host country.) Tj -0.482 -28.559 Td (g\) Be responsible for any injury or loss suffered when traveling independently or) Tj 0 -12.719 Td (otherwise separated or absent from any University- supervised activities.) Tj -18.72 -27.122 Td 104 Tz (4. HEALTH AND SAFETY:) Tj 18.24 -27.36 Td 109 Tz (a\) I have consulted with a medical doctor or Christian Science practitioner and) Tj 17.759 -13.68 Td 107 Tz (program coordinator with regard to my personal medical needs. There are no) Tj 0.24 -12.719 Td 100 Tz (health-related reasons or problems that preclude my participation in this Program.) Tj -18.479 -28.559 Td 111 Tz (b\) I understand that the University does not provide any Accident or Medical) Tj 18.238 -13.68 Td 107 Tz (Insurance during my participation in the above study abroad program. I have) Tj 0 -13.68 Td 102 Tz (arranged, through insurance or otherwise, to meet any and all needs for payment) Tj -0.238 -13.68 Td 100 Tz (of medical costs while I participate in the Program. I recognize that the University) Tj 0.238 -13.68 Td 101 Tz (is not obligated to attend to any of my medical or medication needs, and I assume) Tj -0.238 -13.68 Td (all risk and responsibility therefor. If I require medical treatment or hospital care,) Tj 0.238 -13.68 Td (in a foreign country or in the United States, during the Program, the University is) Tj -0.238 -13.68 Td 99 Tz (not responsible for the cost or quality of such treatment or care.) Tj -18.72 -28.32 Td 103 Tz (c\) I agree to promptly express any health or safety concerns to the program staff or) Tj 18.238 -13.439 Td 99 Tz (other appropriate individuals.) Tj -18.238 -27.842 Td 103 Tz (d\) The University may \(but is not obligated to\) take any actions it considers to be) Tj 17.759 -13.68 Td 101 Tz (warranted under the circumstances regarding my health and safety. I agree to pay) Tj 0.24 -13.439 Td 102 Tz (all expenses relating thereto and release the University from any liability for any) Tj 0 -13.439 Td 97 Tz (actions.) Tj -36.482 -27.842 Td 103 Tz (5. STANDARDS OF CONDUCT:) Tj 17.762 -27.598 Td 115 Tz (a\) I understand that each foreign country has its own laws and standards of) Tj 18.238 -13.68 Td 108 Tz (acceptable conduct, including dress, manners, morals, politics, drug use and) Tj -0.72 -13.68 Td 103 Tz (behavior. I recognize that behavior which violates those laws or standards could) Tj 0.24 -13.68 Td 100 Tz (harm the University's relations with those countries and the institutions therein, as) Tj -0.24 -13.68 Td 103 Tz (well as my own health and safety. I will become informed of, and will abide by,) Tj 0.24 -13.68 Td 107 Tz (all such laws and standards for each country to or through which I will travel) Tj -0.479 -13.68 Td 99 Tz (during the Program.) Tj 391.198 -50.162 Td 84 Tz (2) Tj /F1 9 Tf -483.701 -17.408 Td 103 Tz (UM 53 \(MAR 99\)) Tj ET endstream endobj 22 0 obj 3570 endobj 20 0 obj << /Type /Page /Parent 3 0 R /Resources << /ProcSet [ /PDF /Text ] /Font << /F1 11 0 R >> >> /MediaBox [ 0 0 612 792 ] /Contents 21 0 R >> endobj 24 0 obj << /Length 25 0 R >> stream BT /F1 12 Tf 0 g 104.879 713.265 Td 109 Tz (b\) I also will comply with the University's rules, standards and instructions for) Tj 18.96 -13.439 Td 98 Tz (student behavior.) Tj -18.479 -27.36 Td 109 Tz (c\) I agree that the University has the right to enforce the standards of conducts) Tj 17.759 -13.68 Td 101 Tz (described above, in its sole judgment, and that it will impose sanctions, up to and) Tj 0.479 -13.68 Td 103 Tz (including termination from the Program, for violating these standards or for any) Tj -0.958 -13.68 Td 101 Tz (behavior detrimental to or incompatible with the interest, harmony, and welfare of) Tj 0 -13.68 Td 108 Tz (the University, the Program, or other participants. I recognize that due to the) Tj -0.24 -13.68 Td (circumstances of foreign study programs, procedures for notice, hearing and) Tj 0.24 -13.68 Td 107 Tz (appeal applicable to student disciplinary proceedings at the University do not) Tj -0.24 -13.68 Td 104 Tz (apply. If I am terminated from the Program, I consent to being sent home at my) Tj -0.479 -13.68 Td 100 Tz (own expense with no refund of fees or program costs.) Tj -18.482 -28.32 Td 109 Tz (d\) I will attend to any legal problems I encounter with any foreign nationals or) Tj 18.482 -13.68 Td 103 Tz (government of the host country. The University is not responsible for providing) Tj -0.24 -13.68 Td 99 Tz (any assistance under such circumstances.) Tj -36.479 -27.839 Td 113 Tz (6. PROGRAM CHANGES: The University has the right to make cancellations,) Tj 18.238 -13.92 Td 101 Tz (substitutions or changes in case of emergency or changed conditions or in the interest) Tj -0.238 -13.68 Td (of the Program. I understand that the University's fees and program charges are based) Tj 0 -13.68 Td 105 Tz (on current airfares, lodging rates and travel costs, which are subject to change. If I) Tj 0 -13.68 Td 104 Tz (leave or am terminated from the Program for any reason, there will be no refund of) Tj 0 -13.68 Td 106 Tz (fees already paid. I accept all responsibility for loss or additional expenses due to) Tj -0.24 -13.68 Td 105 Tz (delays or other changes in the means of transportation, other services, or sickness,) Tj -0.24 -13.68 Td 102 Tz (weather, strikes, or other unforeseen causes. If I become detached from the Program) Tj 0 -13.68 Td 100 Tz (group, fail to meet a departure bus, airplane, or train, or become sick or injured, I will) Tj 0.24 -13.68 Td 112 Tz (at my own expense seek out, contact, and reach the Program group at its next) Tj -0.24 -13.68 Td 99 Tz (available destination.) Tj -18 -27.598 Td 112 Tz (7. ASSUMPTION OF RISK AND RELEASE OF CLAIMS: Knowing the risks) Tj 17.762 -13.92 Td (described above, and in consideration of being permitted to participate in the) Tj -0.24 -13.68 Td 104 Tz (Program, I agree, on behalf of my family, heirs, and personal representative\(s\), to) Tj 0.24 -13.68 Td 101 Tz (assume all the risks and responsibilities surrounding my participation in the Program.) Tj -0.24 -13.68 Td 100 Tz (I hereby agree to release, hold harmless and indemnify The Curators of the University) Tj -0.24 -13.68 Td 112 Tz (of Missouri, a public corporation, its officers, employees, and agents, and the) Tj 0.24 -13.68 Td 102 Tz (individual members of the Board of Curators, from and against any present or future) Tj -0.479 -13.68 Td 108 Tz (claim, loss or liability for injury to person or property which I may suffer, or for) Tj -0.24 -13.68 Td 105 Tz (which I may be liable to any other person, during my participation in the Program) Tj 0.24 -13.68 Td 109 Tz (\(including period in transit to or from any country where the Program is being) Tj -0.24 -13.68 Td 92 Tz (conducted\).) Tj -18.24 -27.839 Td 101 Tz (I have carefully read this Release Form before signing it. No representations, statements,) Tj 0 -13.68 Td 105 Tz (or inducements, oral or written, apart from the foregoing written statement, have been) Tj -0.238 -13.68 Td 102 Tz (made. This agreement shall define my responsibilities relating to the Program for which) Tj 0 -12.722 Td 100 Tz (I have qualified at the 午夜影院-) Tj 318.24 -2.639 Td 99 Tz (, and shall be governed) Tj 109.44 -62.64 Td 76 Tz (3) Tj /F1 9 Tf -485.24 -16.642 Td 103 Tz (UM 53 \(MAR 99\)) Tj ET .50 w 0 G 2 J 401.04 106.08 m 304.56 106.08 l S endstream endobj 25 0 obj 4293 endobj 23 0 obj << /Type /Page /Parent 3 0 R /Resources << /ProcSet [ /PDF /Text ] /Font << /F1 11 0 R >> >> /MediaBox [ 0 0 612 792 ] /Contents 24 0 R /Annots 27 0 R >> endobj 26 0 obj << /Type /Annot /Subtype /Widget /Rect [ 305 106 401 119 ] /T (FillText4) /FT /Tx /DA (/TiRo 10 Tf 0 g) /Maxlen 16000 /F 4 >> endobj 27 0 obj [ 26 0 R ] endobj 29 0 obj << /Length 30 0 R >> stream BT /F1 12 Tf 0 g 87.599 713.027 Td 101 Tz (by the laws of Missouri, which shall be the forum for any lawsuits filed under or incident) Tj 0.24 -13.68 Td 100 Tz (to this agreement or to the Program.) Tj ET 0 G 0 J 340.8 655.92 m 492.242 655.92 l S 0 J 93.12 655.679 m 311.28 655.679 l S BT 87.84 657.825 Td 88 Tz (x) Tj 252.96 -13.918 Td 98 Tz (Date) Tj -252.96 0 Td 100 Tz (Signature of Applicant) Tj -0.24 -27.36 Td 98 Tz (I \(A\) am the parent or legal guardian of the above Applicant, \(B\) have read the foregoing) Tj 0 -13.68 Td 118 Tz (Release Form \(including such parts as may subject me to personal financial) Tj -0.479 -13.68 Td 100 Tz (responsibility\), \(C\) am and will be legally responsible for the obligations and acts of the) Tj 0 -13.68 Td 108 Tz (Applicant as described in this Release Form, and \(D\) agree, for myself and for the) Tj -0.24 -13.68 Td 100 Tz (Applicant, to be bound by its terms.) Tj ET 0 J 339.599 517.92 m 490.558 517.92 l S 0 J 92.16 517.92 m 310.079 517.92 l S BT 86.64 520.067 Td 92 Tz (x) Tj 0.238 -13.68 Td 100 Tz (Signature of Parent/Guardian) Tj 253.202 -0.24 Td 97 Tz (Date) Tj /F0 10 Tf -243.36 -68.173 Td 99 Tz (Send Completed Form To: Campus International Student Off ice/Study Abroad Director) Tj /F1 9 Tf -13.2 -378.703 Td 103 Tz (UM 53 \(MAR 99\)) Tj 426.96 -14.64 Td 122 Tz (4) Tj ET endstream endobj 30 0 obj 1337 endobj 28 0 obj << /Type /Page /Parent 3 0 R /Resources << /ProcSet [ /PDF /Text ] /Font << /F1 11 0 R /F0 8 0 R >> >> /MediaBox [ 0 0 612 792 ] /Contents 29 0 R >> endobj 31 0 obj << /AcroForm 0.8 /DR 32 0 R /DA (/TiRo 10 Tf 0 g) /Fields [ 14 0 R 15 0 R 16 0 R 17 0 R 26 0 R ] >> endobj 32 0 obj << /Font << /TiRo 19 0 R >> >> endobj 19 0 obj << /Type /Font /Subtype /Type1 /Name /TiRo /BaseFont /Times-Roman /FirstChar 32 /LastChar 255 /Encoding 33 0 R >> endobj 33 0 obj << /Type /Encoding /Differences [ 24 /breve /caron /circumflex /dotaccent /hungarumlaut /ogonek /ring /tilde 39 /quotesingle 96 /grave 128 /bullet /dagger /daggerdbl /ellipsis /emdash /endash /florin /fraction /guilsinglleft /guilsinglright /minus /perthousand /quotedblbase /quotedblleft /quotedblright /quoteleft /quoteright /quotesinglbase /trademark /fi /fl /Lslash /OE /Scaron /Ydieresis /Zcaron /dotlessi /lslash /oe /scaron /zcaron 160 /Euro 164 /currency 166 /brokenbar 168 /dieresis /copyright /ordfeminine 172 /logicalnot /.notdef /registered /macron /degree /plusminus /twosuperior /threesuperior /acute /mu 183 /periodcentered /cedilla /onesuperior /ordmasculine 188 /onequarter /onehalf /threequarters 192 /Agrave /Aacute /Acircumflex /Atilde /Adieresis /Aring /AE /Ccedilla /Egrave /Eacute /Ecircumflex /Edieresis /Igrave /Iacute /Icircumflex /Idieresis /Eth /Ntilde /Ograve /Oacute /Ocircumflex /Otilde /Odieresis /multiply /Oslash /Ugrave /Uacute /Ucircumflex /Udieresis /Yacute /Thorn /germandbls /agrave /aacute /acircumflex /atilde /adieresis /aring /ae /ccedilla /egrave /eacute /ecircumflex /edieresis /igrave /iacute /icircumflex /idieresis /eth /ntilde /ograve /oacute /ocircumflex /otilde /odieresis /divide /oslash /ugrave /uacute /ucircumflex /udieresis /yacute /thorn /ydieresis ] >> endobj 8 0 obj << /Type /Font /Subtype /TrueType /Name /F0 /BaseFont /Arial,Bold /FirstChar 30 /LastChar 255 /Encoding /WinAnsiEncoding /FontDescriptor 9 0 R /Widths 10 0 R >> endobj 9 0 obj << /Type /FontDescriptor /Flags 32 /FontName /Arial,Bold /FontBBox [ -628 -376 2034 1010 ] /MissingWidth 750 /StemV 85 /StemH 85 /ItalicAngle 0 /CapHeight 905 /XHeight 633 /Ascent 905 /Descent -212 /Leading 150 /MaxWidth 2662 /AvgWidth 479 >> endobj 10 0 obj [ 750 750 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 ] endobj 11 0 obj << /Type /Font /Subtype /TrueType /Name /F1 /BaseFont /TimesNewRoman /FirstChar 30 /LastChar 255 /Encoding /WinAnsiEncoding /FontDescriptor 12 0 R /Widths 13 0 R >> endobj 12 0 obj << /Type /FontDescriptor /Flags 34 /FontName /TimesNewRoman /FontBBox [ -568 -307 2028 1007 ] /MissingWidth 778 /StemV 85 /StemH 85 /ItalicAngle 0 /CapHeight 891 /XHeight 623 /Ascent 891 /Descent -216 /Leading 149 /MaxWidth 2597 /AvgWidth 401 >> endobj 13 0 obj [ 778 778 250 333 408 500 500 833 778 180 333 333 500 564 250 333 250 278 500 500 500 500 500 500 500 500 500 500 278 278 564 564 564 444 921 722 667 667 722 611 556 722 722 333 389 722 611 889 722 722 556 722 667 556 611 722 722 944 722 722 611 333 278 333 469 500 333 444 500 444 500 444 333 500 500 278 278 500 278 778 500 500 500 500 333 389 278 500 500 722 500 500 444 480 200 480 541 778 500 778 333 500 444 1000 500 500 333 1000 556 333 889 778 611 778 778 333 333 444 444 350 500 1000 333 980 389 333 722 778 444 722 250 333 500 500 500 500 200 500 333 760 276 500 564 333 760 500 400 549 300 300 333 576 453 250 333 300 310 500 750 750 750 444 722 722 722 722 722 722 889 667 611 611 611 611 333 333 333 333 722 722 722 722 722 722 722 564 722 722 722 722 722 722 556 500 444 444 444 444 444 444 667 444 444 444 444 444 278 278 278 278 500 500 500 500 500 500 500 549 500 500 500 500 500 500 500 500 ] endobj 3 0 obj << /Type /Pages /Count 4 /Kids [ 5 0 R 20 0 R 23 0 R 28 0 R ] /MediaBox [ 0 0 612 792 ] >> endobj 2 0 obj << /Type /Catalog /Pages 3 0 R /AcroForm 31 0 R >> endobj xref 0 34 0000000000 65535 f 0000000015 00000 n 0000018861 00000 n 0000018752 00000 n 0000000095 00000 n 0000003458 00000 n 0000000126 00000 n 0000003437 00000 n 0000015984 00000 n 0000016161 00000 n 0000016420 00000 n 0000017365 00000 n 0000017547 00000 n 0000017810 00000 n 0000003636 00000 n 0000003779 00000 n 0000003922 00000 n 0000004076 00000 n 0000004219 00000 n 0000014525 00000 n 0000007915 00000 n 0000004268 00000 n 0000007893 00000 n 0000012440 00000 n 0000008070 00000 n 0000012418 00000 n 0000012610 00000 n 0000012753 00000 n 0000014195 00000 n 0000012781 00000 n 0000014173 00000 n 0000014360 00000 n 0000014477 00000 n 0000014656 00000 n trailer << /Size 34 /Root 2 0 R /Info 1 0 R >> startxref 18932 %%EOF