Internship Approval Request

I have requested and voluntarily choose to participate in the Texas State University travel to the destination above (“Travel”) during the dates specified. In consideration for Texas State University (“the University”) funding and/or facilitating the Travel, I (for myself, my heirs, executors, and administrators) HEREBY RELEASE, HOLD HARMLESS, DISCHARGE, AND OTHERWISE AGREE TO INDEMNIFY the University, the Texas State University System, their regents, employees, agents, and volunteers (collectively, “the Released Parties”) from and for any claims, demands, liability, lawsuits, injuries (including death), property damage, attorney’s fees, expenses, costs, causes of action, judgments, or awards of any kind or character (“Loss”) that may accrue, arise, or otherwise exist because of my travel and participation in the Travel. I intend this release to include any Loss sustained by a third party through whom or on behalf of whom (or whose estate) I may assert a claim, lawsuit, or cause of action. I understand and agree that this RELEASE, HOLD HARMLESS, AND INDEMNITY AGREEMENT EXPRESSLY RELEASES, HOLDS HARMLESS, CONTRACTUALLY BINDS ME TO INDEMNIFY (i.e., reimburse the Released Parties for any Loss they may sustain, resulting from a claim by a third party) and OTHERWISE EXONERATES THE RELEASED PARTIES FROM THE CONSEQUENCES OF THEIR OWN NEGLIGENCE, WHETHER THAT NEGLIGENCE IS THE SOLE OR CONTRIBUTING CAUSE OF MY LOSS. I intend this release, hold harmless and indemnity to be as broad and comprehensive as possible as I do not desire that the Released Parties have any liability, directly to me, my spouse (if any), my child (if any), or indirectly to any medical provider or insurer, arising from my participation in the travel. ASSUMPTION OF RISK My participation in the Travel is voluntary. I understand that, through this Travel, I will spend time in the aforementioned destination, an area that has been or may be designated as having a Travel Warning by the U.S. State Department. I have been put on notice that such designation means that this area may include an unstable government, civil war, ongoing intense crime or violence, and/or frequent terrorist attacks, and may be hostile to visitors from the United States. I understand that my participation includes a risk of personal injury, property damage, death or other Loss as described above. I hereby acknowledge that the U.S. State Department provides travel advisories at http://travel.state.gov/content/passports/english/alertswarnings.html. I have been advised to view alerts and warnings prior to and during my travel so that I can remain aware of any necessary safety precautions. I am electing to participate and travel at my own risk. On behalf of myself, my heirs, executors and administrators, I VOLUNTARILY ASSUME ANY AND ALL RISK OF LOSS as defined and described in the above Release, Hold Harmless and Indemnity Agreement. *