‭COMMITMENT FORM‬

‭ASEAN SOCIAL IMPACT PROGRAM‬‭2024‬

‭Participant’s Name: _______________________________________________‬

‭Date of Birth: ________________‬ ‭Phone Number: ______________‬

‭Email: _________________________________________‬

‭Name of Activity: ASEAN Social Impact Program 2024‬

‭Organizer: Student Engagement‬

‭Date(s) of Activity: May 30 to June 2, 2024‬

‭Location of Activity: Fulbright University Vietnam‬

‭In consideration of my voluntary participation in the:‬

▪‭ ‬ E‭ vent/Activity:‬‭ASEAN Social Impact Program 2024 (ASIP)‬

‭▪‬ ‭From‬‭May 30 to June 2, 2024‬

‭ he‬ ‭“Activity”‬ ‭which‬ ‭is‬ ‭financed‬ ‭by‬ ‭Fulbright‬ ‭University‬ ‭Vietnam‬ ‭Corporation‬
T
‭(“FUVC”), I hereby agree to the following terms:‬

1‭ .‬ ‭Participants‬ ‭must‬ ‭participate‬ ‭fully‬ ‭and‬ ‭actively‬ ‭in‬ ‭the‬ ‭program.‬ ‭ASIP‬ ‭has‬ ‭the‬
‭right‬ ‭to‬ ‭ask‬ ‭participants‬ ‭who‬ ‭do‬ ‭not‬ ‭follow‬ ‭the‬ ‭program‬ ‭schedule‬ ‭to‬ ‭leave‬ ‭the‬
‭program without covering the expenses for the participants.‬

2‭ .‬‭Throughout‬‭the‬‭program,‬‭participants‬‭must‬‭follow‬‭the‬‭schedule‬‭and‬‭instruction‬
‭from‬‭the‬‭organizers.‬‭Participants‬‭must‬‭follow‬‭the‬‭laws‬‭and‬‭take‬‭full‬‭responsibility‬
‭for‬ ‭the‬ ‭consequences‬ ‭that‬ ‭may‬ ‭occur‬ ‭as‬ ‭a‬ ‭result‬ ‭of‬ ‭a‬ ‭violation‬ ‭of‬ ‭laws‬ ‭or‬ ‭r ules‬
‭from the venues.‬

3‭ .‬ ‭Participants‬ ‭take‬ ‭full‬ ‭responsibility‬ ‭for‬ ‭any‬ ‭damage,‬ ‭loss‬ ‭or‬ ‭injury‬‭that‬‭occurs‬
‭during the program and during the travel for the program.‬

4‭ .‬ ‭Photos‬ ‭and‬ ‭videos‬ ‭of‬ ‭participants‬ ‭during‬ ‭the‬ ‭program‬ ‭may‬ ‭be‬ ‭used‬ ‭by‬
‭organizers for non-profit purposes.‬
 5‭ .‬ ‭For‬ ‭participants‬ ‭who‬ ‭do‬ ‭not‬ ‭study‬ ‭in‬ ‭Ho‬ ‭Chi‬ ‭Minh‬ ‭City:‬ ‭Travel‬ ‭tickets‬ ‭for‬
‭participants‬‭who‬‭do‬‭not‬‭study‬‭in‬‭Ho‬‭Chi‬‭Minh‬‭City‬‭will‬‭be‬‭purchased‬‭after‬‭May‬‭5.‬
‭Hence,‬‭participants‬‭who‬‭cancel‬‭their‬‭participation‬‭after‬‭May‬‭5‬‭will‬‭have‬‭to‬‭pay‬‭all‬
‭costs related to ticket cancellation to the organizers.‬

_‭ __________________________‬ ‭ __________‬
_
‭Signature of Participant‬ ‭Date‬
‭(please sign and write your full name)‬

‭ LEASE‬ ‭ENSURE‬ ‭YOU‬ ‭SIGN‬ ‭THE‬ ‭FORM‬ ‭AND‬ ‭RETURN‬ ‭TO‬ ‭THE‬
P
‭ORGANIZERS‬ ‭BEFORE‬ ‭THE‬ ‭ACTIVITY‬ ‭STARTS.‬ ‭IF‬ ‭NOT,‬ ‭YOU‬ ‭WILL‬
‭NOT BE ABLE TO PARTICIPATE.‬

‭2‬
 ‭STATEMENT OF LIABILITY RELEASE‬
‭ASEAN SOCIAL IMPACT PROGRAM‬‭2024‬

‭Participant’s Name: _______________________________________________‬

‭Date of Birth: ________________‬ ‭Phone Number: ______________‬

‭Email: _________________________________________‬

‭Name of Activity: ASEAN Social Impact Program 2024‬

‭Organizer: Student Engagement‬

‭Date(s) of Activity: May 30 to June 2, 2024‬

‭Location of Activity: Fulbright University Vietnam‬

‭In consideration of my voluntary participation in the:‬

▪‭ ‬ E‭ vent/Activity:‬‭ASEAN Social Impact Program 2024 (ASIP)‬

‭▪‬ ‭From‬‭May 30 to June 2, 2023‬

‭ he‬ ‭“Activity”‬ ‭which‬ ‭is‬ ‭financed‬ ‭by‬ ‭Fulbright‬ ‭University‬ ‭Vietnam‬ ‭Corporation‬
T
‭(“FUVC”), I hereby agree to the following terms:‬

‭1.‬ I‭ ‬‭understand‬‭and‬‭agree‬‭that‬‭my‬‭participation‬‭in‬‭the‬‭Activity‬‭may‬‭carry‬‭with‬‭it‬
‭the‬ ‭risk‬ ‭to‬ ‭me‬ ‭of‬ ‭personal‬ ‭or‬ ‭bodily‬ ‭injury‬ ‭(including‬ ‭death)‬ ‭and‬ ‭loss‬ ‭or‬
‭damage‬ ‭to‬ ‭property,‬ ‭and‬ ‭I‬ ‭willingly‬ ‭and‬ ‭knowingly‬ ‭accept‬ ‭that‬ ‭risk.‬ ‭I‬ ‭also‬
‭understand‬ ‭and‬ ‭agree‬ ‭that‬ ‭Fulbright‬ ‭University‬ ‭Vietnam‬ ‭and‬ ‭FUVC‬ ‭do‬ ‭not‬
‭and‬‭will‬‭not‬‭guarantee‬‭my‬‭safety‬‭during‬‭my‬‭participation‬‭in‬‭any‬‭activity‬‭of‬‭the‬
‭Activity.‬ ‭With‬ ‭this‬ ‭understanding,‬ ‭I,‬ ‭individually,‬ ‭and‬ ‭on‬ ‭behalf‬ ‭of‬ ‭my‬ ‭heirs,‬
‭successors,‬‭assigns,‬‭and‬‭personal‬‭representatives,‬‭hereby‬‭release,‬‭relieve,‬‭waive,‬
‭indemnify‬ ‭and‬ ‭forever‬ ‭discharge‬ ‭Fulbright‬ ‭University‬ ‭Vietnam,‬ ‭FUVC,‬ ‭their‬
‭board,‬ ‭management,‬ ‭employees,‬ ‭agents,‬ ‭officers,‬ ‭trustees‬‭and‬‭representatives‬
‭(in‬ ‭their‬‭entity‬‭and‬‭individual‬‭capacities)‬‭from‬‭any‬‭and‬‭all‬‭liability‬‭whatsoever‬
‭for‬ ‭any‬ ‭personal‬ ‭or‬ ‭bodily‬ ‭injury‬ ‭(including‬‭death)‬‭and‬‭loss‬‭of‬‭or‬‭damage‬‭to‬
‭property‬‭that‬‭I‬‭may‬‭sustain,‬‭including‬‭but‬‭not‬‭limited‬‭to‬‭any‬‭claims,‬‭demands,‬
‭actions,‬ ‭causes‬ ‭of‬ ‭action,‬ ‭judgments,‬ ‭damages,‬ ‭expenses‬ ‭and‬‭costs,‬‭including‬
‭attorney‬‭fees,‬‭which‬‭arise‬‭out‬‭of,‬‭result‬‭from,‬‭occur‬‭during‬‭or‬‭are‬‭connected‬‭in‬
‭any‬ ‭manner‬ ‭with‬‭my‬‭participation‬‭in‬‭the‬‭Activity,‬‭any‬‭related‬‭or‬‭independent‬
‭travel,‬ ‭any‬ ‭activities‬ ‭or‬ ‭field‬ ‭trips,‬ ‭irrespective‬ ‭of‬ ‭whether‬ ‭or‬ ‭not‬ ‭they‬ ‭are‬

‭3‬
 ‭ artially‬‭or‬‭wholly‬‭sponsored,‬‭supervised‬‭or‬‭controlled‬‭by‬‭Fulbright‬‭University‬
p
‭Vietnam and/or FUVC.‬

‭2.‬ I‭ f‬‭I‬‭should‬‭suffer‬‭an‬‭injury‬‭or‬‭illness‬‭while‬‭participating‬‭in‬‭the‬‭Activity‬‭or‬‭any‬
‭other‬ ‭activity‬ ‭associated‬ ‭with‬ ‭the‬ ‭Activity‬ ‭and‬ ‭in‬ ‭case‬ ‭Fulbright‬ ‭University‬
‭Vietnam‬ ‭and/or‬ ‭FUVC‬ ‭is‬ ‭(are)‬ ‭aware‬ ‭of‬ ‭such‬ ‭information,‬ ‭I‬ ‭authorize‬ ‭the‬
‭employees‬ ‭of‬ ‭Fulbright‬ ‭University‬ ‭Vietnam‬ ‭and/or‬ ‭FUVC‬ ‭to‬ ‭use‬ ‭their‬
‭discretion‬ ‭to‬ ‭have‬ ‭me‬ ‭treated‬ ‭at‬ ‭the‬ ‭nearest‬ ‭health‬ ‭care‬ ‭facility‬ ‭or‬‭any‬‭other‬
‭health‬ ‭care‬ ‭facility‬ ‭selected‬ ‭at‬ ‭the‬ ‭discretion‬ ‭of‬ ‭the‬ ‭employees‬ ‭of‬ ‭Fulbright‬
‭University‬ ‭Vietnam‬ ‭and/or‬ ‭FUVC‬ ‭and‬ ‭hereby‬ ‭give‬ ‭consent,‬ ‭and‬ ‭I‬ ‭take‬ ‭full‬
‭responsibility for that action and the costs associated with such care.‬

‭3.‬ I‭ ‬‭understand‬‭and‬‭agree‬‭that‬‭Fulbright‬‭University‬‭Vietnam‬‭and‬‭FUVC‬‭reserve‬
‭the‬ ‭right‬‭to‬‭cancel‬‭or‬‭suspend‬‭my‬‭participation‬‭or‬‭any‬‭activity‬‭in‬‭the‬‭Activity‬
‭partially‬ ‭or‬ ‭wholly‬ ‭if‬ ‭they,‬ ‭in‬ ‭their‬ ‭opinion,‬ ‭foresee‬ ‭or‬ ‭realize‬ ‭that‬ ‭my‬
‭participation‬ ‭or‬ ‭the‬ ‭activity‬ ‭would‬ ‭incur‬ ‭any‬ ‭risk‬ ‭or‬ ‭if‬ ‭I‬ ‭or‬ ‭my‬ ‭team‬ ‭fail‬ ‭to‬
‭comply‬ ‭with‬ ‭any‬ ‭r ule,‬ ‭guidance‬ ‭or‬ ‭requirements‬ ‭of‬ ‭the‬ ‭Activity,‬ ‭Fulbright‬
‭University Vietnam and FUVC.‬

‭4.‬ ‭This‬ ‭Statement‬ ‭of‬ ‭Liability‬ ‭Release‬ ‭is‬ ‭governed‬ ‭by‬ ‭the‬ ‭laws‬ ‭of‬ ‭Vietnam.‬ ‭I‬
‭agree‬ ‭that‬ ‭if‬ ‭any‬ ‭portion‬ ‭is‬ ‭held‬ ‭invalid,‬ ‭the‬ ‭remaining‬ ‭provisions‬ ‭shall‬
c‭ ontinue in full legal force and effect.‬

‭5.‬ T‭ his‬ ‭Statement‬ ‭of‬ ‭Liability‬ ‭Release‬ ‭shall‬ ‭take‬ ‭effect‬ ‭from‬ ‭the‬ ‭signing‬ ‭date‬
‭hereof.‬

_‭ __________________________‬ ‭ __________‬
_
‭Signature of Participant‬ ‭Date‬
‭(please sign and write your full name)‬

‭ LEASE‬ ‭ENSURE‬ ‭YOU‬ ‭SIGN‬ ‭THE‬ ‭FORM‬ ‭AND‬ ‭RETURN‬ ‭TO‬ ‭THE‬
P
‭ORGANIZERS‬ ‭BEFORE‬ ‭THE‬ ‭ACTIVITY‬ ‭STARTS,‬ ‭IF‬ ‭NOT,‬ ‭YOU‬ ‭WILL‬
‭NOT BE ABLE TO PARTICIPATE.‬

‭4‬