I, the undersigned, whose name and signature appear on this form (and my parent or guardian if I am a minor), a registrant for a trip with Global Impact Adventures LLC hereby acknowledge that I have read and agree to the Global Impact Adventures LLC Terms and Conditions and my itinerary description, as well as those provisions contained in the Release below, and acknowledge that they form part of my agreement with Global Impact Adventures LLC including sections concerning responsibility, refunds and changes in dates, cities, hotels and prices.

I/my guardian voluntarily consent(s) to participate in all activities provided and/or organized by Global Impact Adventures LLC (including the possibility of biking, horseback riding, water-based activities and home stays), and I hereby assume all risks of loss and injury that may be incurred, directly or indirectly as a result of my participation in all activities provided and/or organized by Global Impact Adventures LLC. I/my guardian also authorize(s) Global Impact Adventures LLC to arrange for professional care and treatment for myself in case of a medical emergency. I/my guardian agree(s) that if I become ill or incapacitated, Global Impact Adventures LLC may, without incurring any liability, take such actions as it considers necessary under the circumstances, including securing medical treatment for me and transporting me to the United States all at my own expense. I agree to release Global Impact Adventures LLC from any liability for the quality and timeliness of any such medical care received or for any expenses incurred. I understand that Global Impact Adventures LLC shall distribute to me through my group leader written behavior guidelines and regulations concerning my behavior while traveling. I understand that Global Impact Adventures LLC cannot accept responsibility for travelers not following these rules and regulations, and that I may be sent home at my own expense without benefit of any refund if I do not adhere to Global Impact Adventures LLC behavior guidelines and standards and the instructions of my group leader. I understand that if I am expelled from school or otherwise disciplined by school or civic authorities, I may be declared ineligible for the trip and my participation cancelled, subject to the refund policies stated below.

I will indemnify Global Impact Adventures LLC, its affiliates, agents, directors, employees, and my group leader, school, school officials and hold them harmless for any financial liability or obligation which I personally incur, or injury or damage to the person or property of others which I cause or contribute to, while participating on an Global Impact Adventures LLC program.

I understand it is my/my guardians’ responsibility to meet the group leader accompanying me on a trip with Global Impact Adventures LLC and satisfy myself/themselves as to the appropriateness of the group leader to meet my needs and I/my guardian will inform the group leader of any special requirements for me.

I understand that the air carriers’ liability for loss or damage to baggage, or for death or injury to person or property, is limited by their tariffs and/or the Warsaw Convention and related agreements. Further, I understand that the air carriers assume no responsibility during such time that I am not on board their aircraft.

I understand that future Global Impact Adventures LLC advertising and publicity material may include statements made by participants, or their photographs/video footage. I consent to such use of my content, comments or photographic/video likenesses.

I understand that I am responsible for exercising caution and common sense at all times to avoid injuries. I understand that Global Impact Adventures LLC is providing, as part of the program fee, basic protection coverage for my benefit, including limited health, accident and life insurance in the event of injury or illness while on an Global Impact Adventures LLC program, as well as limited program cancellation or interruption insurance if I fail to participate or am delayed in connection with an Global Impact Adventures LLC program as a result of certain specified actions or events. I acknowledge that I accept the full description and limitation of this coverage that appears in the protection brochure, a copy of which is available upon request.

I hereby waive and release Global Impact Adventures LLC, its affiliates, agents, directors, officers, and employees and my group leader, host school agents and school officials, including any person or entity employed or utilized by Global Impact Adventures LLC or host schools in any foreign country, from all claims arising from any injury, loss, damage, accident, delay, or expense resulting from events beyond its control, including without limitation, acts of God, war, terrorism, strikes, incidents of politically-motivated violence, sickness or quarantine, government restrictions or regulations, and, in the absence of its own gross negligence, arising from the use of any vehicle or from Global Impact Adventures LLC’ selection of, or from any act or omission by, any host family, bus or car rental agency, steamship, airline, railroad, taxi or tour service, hotel service, hotel, restaurant, school, university, or other firm, agency, company or individual.

If my local school, school board, school administration or similar group is officially sponsoring this trip, I will receive written notification of that fact from my local municipality, school, school board, school administration or similar group, together with a statement of any responsibility for the trip assumed by that organization. In the absence of such a written notification, I understand that the trip is not officially sponsored or supported by my municipality or my school system, although they may, as a courtesy to the teacher involved, allow school or municipal premises or services to be used in connection with planning for the trip. Therefore, my local school, school board, school administration, school officials, municipality and municipal officials have no liability or responsibility whatsoever with respect to the trips unless they expressly inform me otherwise in writing, and by going on an Global Impact Adventures LLC trip I expressly release and waive all claims of any type against any or all of the foregoing in any way related to, or arising out of, the trip.

I understand that Global Impact Adventures LLC reserves the right to make changes in the program and in program costs as described in the Global Impact Adventures LLC program brochure and itinerary description without liability for refund.

I understand that obtaining a passport is my responsibility. If I am not a U.S. citizen, I understand it is my sole responsibility to obtain, in advance, any visas and other documents which may be required to enter or connect through all the countries on my itinerary and to re- enter the United States. If I have a passport from a country other than the United States, I must contact the local consular offices of the countries I will be visiting to obtain the necessary visas. Such visas are not obtainable on the spot overseas. Whether I am a U.S. citizen or not, Global Impact Adventures LLC will be held harmless in the event I am unable to obtain the necessary documents for participation in the program. I understand that inability to obtain these visas and other documents does not constitute grounds for withdrawal with full refund; the standard refund policy will apply.