CAREER OBSERVATION WAIVER OF LIABILITY AND HEALTH FORM For and in consideration of the participation of Click or tap here to enter text. (name of participant) in the Altru Health System (Altru) Career Observation Program, I, for myself, my heirs, executors, administrators, successor and assigns; do herby release, acquit and forever discharge Altru, its agents, employees, and all other persons who might be liable from any and all causes of action, claims and demands of whatsoever nature and kind whether known or unknown arising from my participation in said Program. Further, I, for my heirs, successors, administrators, executors and assigns do herby covenant not to bring any action against Altru, its agents, employees, and all other persons, providing services in the Program and agree to indemnify and hold harmless the same in the even any such action is hereafter brought, or claim is hereafter made.It is further understood and agreed that I, for my heirs, successors, administrators, and assigns, do hereby agree to indemnify and hold Altru, its agents, employees, and all other persons, providing services in the Program with respect to any potential subrogation claims by any and all third party payors with respect to payments made to the Hospital or any other healthcare or medical providers for healthcare with respect to any injuries sustained in the course of my participation in the Program.This release contains the entire agreement between the parties hereto, and the terms of this release are contractual and not a mere recital. I further state that I have carefully read the foregoing release and know the contents hereof, and I sign my name as a free and voluntary act. I, the undersigned student, do hereby acknowledge that I have read and understand the following statements.I agree to abide by and be bound by the following statements in return for Altru allowing me to participate in the Altru Health System Career Observation Program.I will conduct my observation activities at Altru only under the supervision of an Altru employee.I will comply with all Altru rules and regulations, Altru policies and procedures, Altru Behavior Standards and the Rules of Conduct outlined in this application.I understand that Altru retains the right to remove any student at any time.I acknowledge that I am not an employee of Altru during the Program.I understand that I am responsible for the cost of any medical care that I receive from Altru for any reason.I acknowledge my responsibility and liability regarding the confidential nature of all information that I have access to at Altru by virtue of my participation in this Program.I understand that I may not participate in the Career Observation Program until I have read the Orientation Packet that includes, but is not limited to, confidentiality and infection control.I understand that I am required to maintain verification of all immunizations, test dates, and test results, and that I must make those verifications available to Altru upon request.Participation in the Program is prohibited unless this Waiver is signed by the Participant (and Parent/Guardian if participant is under the age of 18).