RELEASE AND HOLD HARMLESS AGREEMENT

Curators of the University of Missouri and
University of Missouri-Kansas City

Please read the following carefully. If you have questions, please have them answered before accepting this document.

I, in consideration of the opportunity to participate in an academic service-learning experience as part of the fulfillment of the requirements for, do hereby release, waive, and hold harmless The
University of Missouri, its curators, officers, agents and employees, from and against any and all claims, demands or causes of action of any type whatsoever, including property damage, personal injury or death, arising out of or in any way related to my participation in the service-learning experience for the course stated above.

I am aware that there are risks and dangers associated with my participation in community service projects, including the risk of property damage and personal injury. I understand that my service-learning experience may require my presence in areas that have higher crime rates than I may be accustomed to. I assume full responsibility for any injuries or damages I may sustain as a result of my voluntary participation, including while traveling to or from a service project.

I understand that I am solely responsible for any medical costs I may incur as a result of my participation in the academic service-learning experience.

I acknowledge that the service learning experience described above does not create an employee/employer or independent contractor relationship with The University of Missouri or with any entity where I am placed and that I will not receive, cannot accept or claim entitlement to any wages, benefits, workers’ compensation or any other form of compensation. I understand that the University may not provide any Accident or Medical Insurance.

This agreement is binding upon the members of my family, spouse, my estate, heirs, administrators, personal representatives, assigns and any other person entitled to act on my behalf. This agreement shall be construed under the laws of Missouri.

I have read and understand the terms of this Release and Hold Harmless Agreement and agree to all terms and conditions. I am of lawful age (above 18 years old) and legally competent to sign this waiver and release, and I have signed this document as my own free act.