I, ____________, am a graduate student at The Johns Hopkins University, in the Department of ____________in the School of ____________. I am planning to conduct some of my graduate studies abroad during the academic year ____________ in ____________ locations for the ____________ period of time.

I understand that there are a wide variety of risks associated with any travel to and living in a foreign country, including but not limited to lack of access to health care comparable to that available in the United States, crime, dangers associated with public or private transportation and the safety of road systems and other means of transportation. I understand that every country has its own laws and culture and that I am responsible for my own actions, activities and behavior while I am outside of the United States, and I recognize that I may be responsible for all aspects of my living and studying while I am abroad. I understand that I may suffer damages or losses to my person or to my property or both.

I represent that I am covered throughout the travel abroad program and throughout my absence from the United States by a policy of comprehensive health and accident insurance which provides coverage for illnesses or injuries I sustain or experience while abroad. I release Johns Hopkins University from any responsibility and liability for my injuries, illness, medical bills, charges or similarities expenses.

I agree to release and hold harmless The Johns Hopkins University and its employees and agents from any and all liability and damages or losses I may suffer to my person or my property or both, which arise out of or occur during my participation in the foreign study and research, except if the danger or losses are caused by the gross negligence or willful misconduct of University employees.

I agree that this Student Release is to be construed in accordance with the law of the State of Maryland, and that if any portion of this agreement is held invalid, the remainder of the agreement shall continue in full force and effect. I acknowledge that I have read this entire document, and I agree to its terms.

Date ____________________________________
Name ____________________________________