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 HOST Student Request Form

​BEFORE SUBMITTING, PLEASE READ CAREFULLY: By completeing this form, you agree that you are exercising your own free and voluntary choice to participate in the University of Colorado School of Medicine/Medical Alumni Association Help Our Students Travel (HOST) Program. You understand and assume all associated risks associated with this activity.  The University of Colorado does not provide health insurance for individuals participating in activities made available or sponsored by the University of Colorado. As such, you or your personal health insurance will be responsible for payment of medical services and care for any injuries sustained.  You agree to assume all risk of personal injury or loss, bodily injury (including death), damage to or loss of, or destruction of any personal property resulting from or arising out of participation in the (HOST) program. You also release, waive, indemnify, hold harmless, and discharge the University of Colorado from all claims, damages, and injuries arising out of the HOST Program.