The following information is requested in order for SRISA to better provide assistance and services catered to your personal needs when on campus. Please select the answer that best describes the items below in relation to you:
* General health concerns (Eating and sleeping habits, weight, mobility, etc.)
* Specific illness or social/emotional or behavioral issues
* Allergies (food, insects, medication, etc.)
* Prescription medication (daily or occasionally use)
* Problems with vision, hearing, or speech (glasses, contacts, hearing aids)
* Significant recent injury or accident
I, a student at Santa Reparata International School of Art (herein after “SRISA”), hereby agree as follows:
I understand that, although SRISA has made reasonable efforts to provide for my safety while participating in its programs and activities, there are unavoidable risks in foreign travel, and I may subject myself to dangers over which neither SRISA, its agents, nor its employees have any control. These dangers might include, but are not limited to, airline and motor vehicle accidents, criminal behavior or negligence by others, health problems, theft, etc. I hereby acknowledge that I have applied and choose to participate in SRISA and voluntarily engage in field trips and activities of the programs conducted by SRISA. I hereby acknowledge my awareness that my participation in SRISA and its programs may involve the risk of injury to my person and property. These may include, but are not limited to the following: bodily injury, death, property damage, etc. I voluntarily accept all risks of property damage and bodily or personal injury arising as a result of participation in SRISA or travel in the host country or region. Being fully aware of the possible risks and consequences of my voluntary participation in SRISA, I hereby agree to forever hold harmless SRISA and each of its officers, Board of Directors, the members individually, agents, and employees. I further covenant and agree I will not sue SRISA and each of its officers, Board of Directors, the members individually, agents, and employees. This agreement and release shall also be binding on my heirs, assignees, successors, and all other persons who may claim through me.
As a student attending courses at Santa Reparata International School of Art (SRISA), either directly enrolled or through a visiting program, I understand that I am required to respect the rules and regulations established by SRISA.
I understand that my enrollment in SRISA courses and participation in SRISA housing is contingent on my respecting the rules and regulations as outlined below.
I understand that I…
I understand that SRISA has an open door policy and staff is available to discuss and advise on any challenges that may arise in adjusting to my new environment.
I give SRISA permission to use my name, image, voice, and/or appearance as such may be embodied in any pictures, photos, videos, digital images, and the like taken or made on behalf of SRISA. I agree that SRISA has ownership of such pictures, etc, and may use them for any purpose consistent with SRISA's mission. These uses include, but are not limited to SRISA marketing materials, social media, website, brochures, and any promotional or educational materials. I hereby release SRISA and its agents from any and all claims which may arise out of or are in any way connected with such use. I understand that should I wish to rescind permission to such use I must provide an official request to email@example.com stating my desire for such pictures, etc. not to be used.