Travel Release of Liability 免责声明(中英)

RELEASEOFLIABILITYThisReleaseofLiabilityisexecutedinconsiderationforallowingthebelownamedchild/childrenenrolledinMelbourneCentralCatholicHighSchool,Inc.toleavetheschoolprogramforthedatesspecifiedbelow.ThisReleaseofLiabilitymustbesignedbyaparentorguardian.Thisdocumentauthorizesyourchild/studenttoleaveourprogramforthespecifiedtimeperioddocumentedbelow.We/I,onbehalfofour/mychild/studentdoherebyreleaseandforeverdischargeandagreetoholdharmlessMelbourneCentralCatholicHighSchool,Melbourne,Florida,andtheSchoolAdministration,StaffandHostFamilies,fromanyandallloss,liability,claims,ordemandsofanynaturewhichmaybeincurredbytheundersigned,andthechild/studentwhiletheyareawayfromourcampusandprogram.Iunderstandandagreetothefollowing:√Iwillberesponsibleforthesupervisionoftheabovenamedstudentduringthedatesspecifiedabove.√Iwillberesponsibleforobtaininghealthcareforthestudentifheorshebecomesill.√Iwillberesponsibleforanydamagesduetomisbehaviorornegligenceundermysupervisionincluding,butnotlimitedto,damagestoproperty,damagestoothers,bail,lawyerfees,andcourtcosts.We/I,theundersigned,furtherherebyagreethattheschoolisnotresponsibleforthechild/children/studentssupervision,travelarrangementsoranyexpensesduringthistimeperiod.Studentisresponsibleforalltravelarrangementsandexpensesincludingpayingfortransportationbyaschooladministratortoandfromtheairport.TheschoolwillchargeatransportationfeetoandfromtheOrlandoInternationalAirportof$50perperson/eachway.Igivepermissionformychild/studenttoleavetheprogramatMelbourneCentralCatholicHighSchoolon(date)_____________andreturnon(date)___________________.Theywillbevisiting__________________________________(checkonlyone)√______________________________________________________(adult25yearsofageorolderifnotanimmediaterelative).Theaddressandphonenumberis:_________________________________________________________________________________________________________________________________________OR____willNOTbesupervisedandwillbestayingat:(addressandphonenumber)____________________________________________________________________________________________________________________________Parent’sSignature:______________________________________________________________Parentof:_____________________________________(Studentname)Date:_________________________________________免责声明鉴于就读于MCC高中的学生xxx被允许在下述指定日期内离开学校，我校特此签发免责声明。本免责声明须由学生父母或监护人签字。文件授权您的孩子/学生在本文指定日期内脱离我校安排。我们/我代表我们的孩子或学生特此豁免、永久解除且不损害佛罗里达墨尔本MCC高中、校方管理部门、人员及寄宿家庭等在孩子或学生离开校园或安排期间的一切责任，不承担由于下述签字人引起的任何自然人的部分或全部损失、债务、索赔或要求。本人理解并同意：我将承担在指定日期内对该学生的监管责任如果该学生生病我将承担寻求医疗的责任我将承担在我监管下由于学生行为不良或过失造成的全部损失，包括且不限于财产损失、对他人的损害、保释金、律师费、诉讼费等。我们/我，即签字人，进而同意学校不承担对孩子或学生在该指定时间内的监管、旅行安排或任何花费义务。学生自负所有行程安排和花费，包括学校管理员接送往返机场的交通费。学校将收取往返奥兰多国际机场的交通费用为单程每人$50。本人允许我的孩子/学生XXX于XX月XX日离开MCC高中的安排，并于XX月XX日返校。他们将去拜访_________________(仅选其一)_____________________________（如非直系亲属需为25岁以上成年人）地址和电话如下：________________________________________________________________或XXX将不受监管，他将待在：（地址和电话）__________________________________________家长签名：__________________________________学生:______________________之家长日期:__________________________