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                                     RELEASE AND ASSUMPTION OF RISK

I have been informed my duties will require travel to and from remote areas of China. I understand China is a Communist country whose laws and customs differ from those prevailing in the United States. I also under­stand civil unrest is possible during my stay in China. I further understand that health and sanitary conditions will likely be beneath the standards to which I am accustomed.

I am aware that travel, whether to or from or within China, whether by plane, train, automobile, boat, or other conveyance, or on foot or the like, and my activities within China, whether in support of the programs and projects of GANSU, INC or other activities in which I may choose to engage, entail some risks of illness, injury, or death, which may be caused by negli­gence of others, forces of nature, or other agencies known or unknown. I am also aware that medical services or facilities may not be readily available or accessible during some or all of the time in which I am participating in the GANSU, INC program in China.

As a condition of my being accepted to participate in the programs and projects of GANSU, INC, I do hereby fully assume all risks of illness, injury, or death, and hereby, on behalf of myself, my spouse, my chil­dren, my heirs, and beneficiaries of every kind, release and discharge and agree to hold harmless GANSU, INC, its officers and  directors, for any injuries, inconve­nience, damaged or lost property, or other losses including death, suffered as a result of, or in association with, my activities as a volunteer in support of  GANSU, INC programs and projects, whether such injury, inconvenience, damage, or loss, including  death, is caused by the negligence of GANSU, INC or its officers, directors, employees, or representa­tives, or otherwise.

I agree to accept full responsibility for any and all costs of necessary medical or dental care, or death related expenses, for myself and any family members accompa­nying me, while involved in the programs and projects of GANSU, INC, and for the costs of repa­triation, if required. I agree not to seek reimbursement from GANSU, INC, its officers or directors, for such costs,  expens­es, or any portion thereof. I agree to indem­nify and hold harm­less GANSU, INC and its officers and directors, if any claim is made against it/them by reason of my negligence, breech of duty, or any other act or omission of mine or any family member of mine, while I/we are partic­ipating in the programs or projects of GANSU, INC.

I agree that this agreement shall be binding on my heirs, execu­tors, administrators, legal representatives, and their successors.

I understand this document is intended to be as broad and inclusive as is permitted by the State of Colora­do. If any portion of it is held invalid, it is agreed the balance shall continue in full force and effect. It is agreed that laws of the State of Colorado shall govern this agree­ment. 

I, the undersigned, have read and understand the statements made above and I voluntarily sign this agreement.  I confirm that no oral representa­tions, warranties, state­ments, or agree­ments, apart from this one, have been made to me.

SIGNED_________________________________________________DATE_______________

 
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