Intern Waiver Form

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True North Treks Intern Release and Waiver of Liability Form

This Release and Waiver of Liability (the “release”) executed on:

* Indicates required field

Date (MM/DD/YYYY) *

by:

Name of Intern *

First

Last

releases True North Treks, (“TNT”), a not-for-profit organization existing under the laws of the State of Illinois and each of its directors, officers, employees, and agents.

The Intern desires to provide services for TNT at the TNT Foglia Foundation WALDEN Institute (“WALDEN”) and engage in activities related to serving as an Intern. The Intern understands that the scope of Intern’s relationship with TNT is limited to the agreed upon internship position, whether paid or unpaid; that TNT will not provide any benefits traditionally associated with employment to the Intern; and that the Intern is responsible for his/her own insurance coverage in the event of personal injury or illness as a result of Intern’s services to TNT.

1. Waiver and Release: I, the Intern, release and forever discharge and hold harmless TNT and its successors and assigns from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from the services I provide to TNT. I understand and acknowledge that this Release discharges TNT from any liability or claim that I may have against TNT with respect to bodily injury, personal injury, illness, death, or property damage that may result from services I provide to TNT as an Intern or any other activities while at WALDEN or the surrounding area.

2. Insurance: I, the Intern, understand that TNT does not assume any responsibility for or obligation to provide me with financial or other assistance beyond the agreed upon internship stipend, including but not limited to medical, health, or disability benefits or insurance. I expressly waive any such claim for additional compensation or liability on the part of TNT beyond what may be offered freely by TNT in the event of injury or medical expenses incurred by me.

3. Medical Treatment: I, the Intern, hereby release and forever discharge TNT from any claim whatsoever which arises or may hereafter arise on account of any first-aid treatment or other medical services rendered in connection with an emergency or other health issue during my tenure as an Intern with TNT.

4. Assumption of Risk: I, the Intern, understand that the services I provide to TNT may include things that could be hazardous to me including but not limited to any and all indoor or outdoor work or activities on the property or surrounding area. As an Intern, I hereby expressly assume risk of injury or harm from these activities and release TNT from all liability.

5. Media Release: I, the Intern, grant and convey to TNT all right, title, and interests in any and all photographs, images, video, or audio recordings of me or my likeness or voice made by TNT in connection with my providing Intern services to TNT.

6. Other: As an Intern, I expressly agree that this Release is intended to be as broad and inclusive as permitted by the laws of the State of Illinois and that this Release shall be governed by and interpreted in accordance with the laws of the State of Illinois. I agree that in the event that any clause or provision of this Release is deemed invalid, the enforceability of the remaining provisions of this Release shall not be affected.

By submitting this form I express my understanding and intent to enter into this Release and Waiver of Liability willingly and voluntarily.

I Agree