Please read the waiver and answer the questions below. Contact the Chazen Institute (212-854-4750) if you have questions.

COLUMBIA UNIVERSITY ASSUMPTION OF RISK, WAIVER AND RELEASE FOR TRAVEL

I am entering into this Assumption of Risk, Waiver and Release (the "Form") as a condition to my participation in voluntary activities supported or organized by the Columbia Business School, including, but not limited to, domestic and overseas travel, international workshops and academic programs and training, and community service activities on the PEEA class on Africa ("Trip").

I understand and confirm that my participation in each Trip is wholly voluntary. It will be my decision whether or not to participate in the Trip, and I understand that this is not a requirement of my degree program or of any class.

Before deciding to participate in a Trip, I will carefully review any background information provided by Columbia regarding the Trip and will conduct further research as may be reasonable under the circumstances. I understand that information provided by Columbia regarding the Trip is offered as one resource only, and that the information does not purport to be complete or comprehensive.

Before deciding to participate in a Trip, I will carefully review any background information provided by Columbia regarding the Trip and will conduct further research as may be reasonable under the circumstances. I understand that information provided by Columbia regarding the Trip is offered as one resource only, and that the information does not purport to be complete or comprehensive.

Accordingly, I understand and agree that, except as may otherwise be specified in a writing signed by an authorized representative of Columbia University, the University (including any trustee, faculty member, officer, employee or student) provides no assurance and assumes no responsibility or liability, in whole or in part, for arrangements regarding each Trip, including without limitation, arrangements (i) for health care and insurance, (ii) for lodging and travel, and (iii) to safeguard myself and my belongings in connection with the Trip (including safeguards from disease, illness, injury, crime, or terrorist activity).

WAIVER, RELEASE AND ASSUMPTION OF RISK: I hereby waive and release Columbia University (including any trustee, faculty member, officer, employee, or student, whether in their professional or personal capacity or otherwise) from any actions, claims, liabilities, and damages arising from or relating to each Trip, and all associated activities, including, without limitation, any damages for personal injury, illness, death, or property loss that I may sustain or experience in connection with each Trip, including in the course of participating in the Trip or traveling to or from the Trip. I hereby assume, knowingly and voluntarily, all risks of my participation. To the fullest extent allowable under law, this waiver, release, and assumption of risks will apply whether or not Columbia University (including any trustee, faculty member, officer, employee, or student, whether in their professional or personal capacity or otherwise) is wholly or partially negligent or otherwise at fault.

I agree to use good personal judgment and exercise caution in any potentially high-risk situations at a Trip. As a participant in an Trip, I recognize that I will continue to be governed by all applicable University policies and rules, and I agree to conduct myself in a professional manner at all times. If my conduct violates any policy or rule of the University, I understand that I may be required to leave the Trip at my own expense, in the sole discretion of the University.

I agree that the University reserves the right to make changes to the University's participation in each Trip (or to cancel or postpone the Trip in part or in whole) at any time and for any reason, with or without notice.

In case of accident or due to serious illness or injury I hereby authorize Columbia University and its representatives to contact the names I have previously provided in case of emergency. On behalf of myself, and my heirs, assigns, and legal representatives, I have read, understand and entered into this Form. I consent to the application of the laws of New York to govern, interpret, and enforce this Form, including all rights and obligations arising from or related to this document, without regard to conflict of law principles.