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(PDF) Proceedings of the 13th Hokkaido Indonesian Student ... 2026

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The document is an Assumption of Risk and Release Agreement for Xavier University students, employees, or faculty participating in an overnight experience in Guatemala from May 25 to June 7, 2020. It outlines the inherent risks associated with the trip, the responsibilities of participants, and the university's lack of liability for any injuries or damages incurred during the experience. Participants must acknowledge their understanding of these risks, provide emergency contact information, and confirm their medical insurance coverage.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name and Banner ID clearly in the designated fields. Ensure accuracy as this information is crucial for identification.
Select your role from the options provided: Xavier Student, Employee, or Faculty Member. This helps categorize your participation.
Fill in the details of the activity, program, event, or trip you are participating in, including its location and dates. For example, 'Guatemala 2020' for both fields.
Review each section carefully, especially those regarding risks and responsibilities. Initial where required to acknowledge understanding.
Complete emergency contact information accurately to ensure prompt assistance if needed during the experience.
Finally, sign and date the form at the bottom. If under 18, ensure a parent or guardian also signs in their section.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (170 Votes)
2017	4.3 Satisfied (84 Votes)

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