By checking the box below I agree to purchase health insurance with coverage for South East Asia/Indonesia before I leave my home country. The coverage must be in place for the entire duration of my stay with The Suwandi Foundation.

I further understand that travel insurance will supplement any existing insurance coverage I may have and is not a substitute for personal insurance. The Suwandi Foundation shall not be held responsible for any gaps in coverage or for any claims that are not covered by the insurance policy.

1. MEDICAL AUTHORIZATION AND RELEASE

A. Medical Authorization and Consent
We authorize and consent to organization and its Assistants and such entities’ organizers, guides, leaders, staff, directors, nominees, assigns, designees, owners, successors, affiliates, local partners, and any and all other persons or entities associated with it, including subcontractors and vendors (collectively, the “Staff”), securing any and all medical attention and treatment which the Staff deems necessary or appropriate for the Participant at any time during the Participant’s program (the “Program”).

Without limitation, we further authorize and consent to the hospitalization, securing and performance of medical treatment, injection, anesthesia, x-ray procedures, blood transfusions, medications and surgery for the Participant by the Staff and/or any hospital, physician, medical care provider, person or entity during the Program in the event the Participant is incapable of making medical decisions independently. We also agree to the release (to or by the Staff) of any records necessary for treatment, referral, billing or insurance purposes.

We acknowledge our full authority to provide this authorization. We understand the Staff will attempt to notify the Participant’s parent/guardian or other designated emergency contact of any medical treatment that has been administered by the Staff or providers or persons who are not part of the Staff as soon as possible for any participant under the age of 18 years of age. We recognize, however, that notification prior to treatment is not always possible in emergency situations or where immediate means of communications are not readily available. Participants over the age of 18 years of age are expected to notify their parent/guardian or other designated emergency contact of any and all medical or mental health treatment and may rely on Staff to assist with this notification.

Due to the isolated and remote locations and conditions that the Participant will encounter on the Program, we understand the availability, accessibility, and quality of medical services and rescue possibilities may be severely limited or even unavailable. There also may be a limited ability to communicate with rescue and medical personnel and to transport or evacuate the Participant from an incident location. Portions of the Program may occur in locations as much as several hours from any medical facility, and in regions where traditional Western medical care is not always available.

The Medical Authorization and Consent to the Staff, as contained in this Section of Part 1 of this Agreement, shall remain in effect during the pendency of the Program only. For purposes of this Section, the Program commences upon the Participant’s arrival and, where applicable, clearance of customs at the arrival airport (“Arrival Airport”) which will occur on the Program starting date communicated to Participant. The Program concludes upon the Participant’s leaving the departure airport (“Departure Airport,”), which will occur on the ending date communicated to Participant, unless the Participant departs at an earlier time. Neither Organization nor its Assistants will be liable for any damages, injuries, illnesses, or any other harms sustained by the Participant before the Program begins or after the Program ends.


B. Mental Health Support
We understand that the Staff are trained first and foremost in the field of experiential education. The Staff is not qualified in any way to deliver any psychiatric or mental health support or treatment. Organization programs are not therapeutic and do not provide any mental health treatment or support. They should not be used or recommended as a component of a mental health treatment regimen. The Staff is neither trained, competent to or able to provide support, accommodation or treatment to students struggling with substance abuse or mental health issues . If mental health consultation or treatment becomes necessary during a program in response to a particular situation, Organization may, but shall not be obligated to, make a reasonable effort to facilitate it. If necessary, the Participant in such a situation, may be removed from the Program.

C. Right to Refuse
We understand and agree that, subject to applicable law, Organization reserves the right to refuse Participant from participating in any of Organization’s Programs for any lawful reason, in Organization’s sole discretion. We represent that the Participant is adequately physically and mentally fit and prepared for this type of travel, living abroad and for the activities that are associated with the Program. If Participant requires any specialized physical, mental health or academic accommodations, Participant shall disclose and request such accommodation pursuant to Part 1.D. below. We acknowledge that we have the sole responsibility to share all medical and mental health information with the Staff during enrollment. Such medical information shall be shared with Organization or with an Assistant designated by Organization. If Organization learns that a healthcare professional has determined that participation in a particular activity or Program is not advised, Organization may, subject to applicable law, prohibit the Participant from engaging in that activity or Program. If Organization obtains information or otherwise determines during the course of the Program that the Participant’s previously undisclosed medical or mental health condition renders the Participant incapable of meeting the Program requirements, Organization may remove that Participant from the Program. This determination is at Organization’s sole discretion. Any costs associated with a participant’s dismissal, including but not limited to additional lodging, food, or travel expenses, will be solely at the Participant’s and/or his/her parent’s or legal guardian’s expense.

2. MEDICAL EXPENSES, AND PERSONAL PROPERTY

If any type of medical treatment is required for the Participant for any reason, we understand and accept full and exclusive responsibility for any expenses not covered by Organization’s included travel insurance policy. The Staff may, but is not required to, provide initial payment to secure urgent medical services for Participant, and in such situations, we agree to reimburse the Staff no later than ten (10) days after payment is made by the Staff to secure such medical services. We accept and acknowledge that regardless of the type of injury or illness that the Participant may sustain, the cost of any and all medical care and assistance before, during, and after the Program is exclusively our responsibility.

We agree to hold harmless and indemnify (“indemnify” meaning protect by reimbursement or payment) Organization and its Assistants of and from any and all expenses arising because of any claim which may be presented by anyone including any health care provider or other third party, for expenses, loss, or damage as a result of the Participant’s healthcare before, during, or after the Program. We also agree to accept all risk and fully release Organization and its Assistants for any personal property loss or damage the Participant may sustain during and/or resulting from participation in the Program.

We understand that throughout Participant’s participation in the Program, including without limitation during the Program’s activities (see Part 3) and while staying at Accommodations (see Part 4), there exists the risk that Participant’s personal property may be subject to damage or theft. We assume all risks associated with regard to Participant’s personal property, and we fully release Organization and its Assistants for any damage, theft, or loss of any of Participant’s personal property that occurs during the Program.


3. ACTIVITIES AND WAIVER

We hereby give permission to allow the Participant to engage in the optional and included activities communicated to Participant in connection with the Program. These activities vary from program to program and relate to the program focus, itinerary, environmental conditions and staffing. Some of these activities may not be part of the Program cost and may require an additional cost (this additional cost may be collected by Organization or its Assistants). We understand that Organization and its Assistants reserve the right, at any time, including before or during the Program, to change any planned activities, including making cancellations, substitutions, or any other changes, at their sole discretion. We understand that, to the extent possible, Organization will contact us about any changes to any planned activities. Further, we understand and agree that Organization and its Assistants will not be responsible for any costs incurred as a result of a change to any planned activities.

If a Participant chooses to not participate in any given activity included within the Program, Participant will inform Organization ahead of time. Organization cannot guarantee that an alternative activity will be made available to Participant. Organization does not refund Participant for any missed activities. .

4. ACCOMMODATIONS DURING THE PROGRAM
We understand that Participant’s accommodations during the program may be a combination of lodging provided by educational institutions, Yayasan Loka Mawa Upadhi, Khrisna Sunrise Accommodation, hotels, and/or villas (collectively, the “Accommodations”). Due to the nature and location of Organization programs, it is likely the Participant will be staying in Accommodations that maintain no insurance and are in no way required or even able to obtain insurance. Therefore, we understand that Organization strongly recommends that we obtain insurance with coverage limits sufficient to cover the value of the Participant’s personal property, in the event of theft, fire, flood, or other unforeseen occurrence. We acknowledge that Organization is not responsible for Participant’s property.

5. DEPOSITS, PAYMENTS, CANCELLATIONS, AND REFUNDS

Payments: All programs require payment of a $250 non-refundable deposit for each Participant to confirm their spot on the program. Participants are expected to pay 100% of their total program cost at least 1 month prior to the program departure date. Any booking made within 1 month of the program’s departure will need to be paid in full including the application fee at the time of enrollment.

Cancellations: The Organization offers refunds for cancellations as follows:
– 100% (full refunds) of all money paid, minus the deposit, for any cancellations made more than 75 days prior to the program departure date.
– 50% refund of all money paid, minus the deposit, for any cancellations made more than 45 days prior to the program departure date.
– No refunds of any money paid for cancellations 30 days or less prior to the program departure date.

NOTE: If a credit card was used to make payments, this same card will automatically be credited for any refunds offered as per the refund and cancellation terms listed above unless the Organization is advised of an alternative payment method.

6. TRANSPORTATION
As part of the Program, Organization or its Assistants will book certain ground transportation during the Program (the “Program Travel”). We understand that we are responsible for all costs associated with Program Travel, including but not limited to airfare and carfare. We understand that we are solely responsible to insure and possess all appropriate documentation for travel abroad with the exception of travel visas. Further, we understand that we are solely responsible for arranging and paying for all transportation other than the Program Travel. The type of travel that is excluded from Program Travel includes, without limitation, transportation to the Arrival Airport designated by Organization in the city where the Program will begin, transportation from the Departure Airport designated by Organization in the city where the Program will conclude, and any local transportation within each city the Program will take place in, including but not limited to local public transportation and taxi cabs.

7. MISCELLANEOUS TERMS

A. Compliance with Organization’s Student Handbook and Code of Conduct
We understand that by executing this Agreement, the Participant agrees to follow the rules and regulations described in Organization’s Student Handbook (the “Handbook”), which will be provided prior to the start of the Program and the Organization Student Code of Conduct (the “Code of Conduct”). We acknowledge that Organization may dismiss a Participant as laid out in the Handbook or Code of Conduct, including for wrongful or offensive conduct. Such wrongful, unsafe, or offensive conduct includes, but is not limited to, causing harm to one-self or others; causing harm to properties or local community relationships, and impacting the enjoyment of other participants on the Program. Any costs associated with a Participant’s dismissal, including but not limited to additional lodging, food, or travel expenses, will be at the Participant and his/her parent’s or legal guardian’s expense.

We understand that Organization may amend the Code of Conduct at any time, but Organization will provide reasonable notice to Participants of any policy implemented during the Program that may result in a Participant’s dismissal from the Program.
We also understand that engagement in prohibited conduct, including conduct prohibited in any code of conduct, or other set of rules or policies, may result in dismissal from the Program.

B. Participant’s Behavior

We understand that each foreign country has its own laws, culture and standards of acceptable conduct, including dress, manners, morals, politics, drug use and behavior as outlined in Organization’s Student Code of Conduct which has been provided to us concurrently with this Agreement. We recognize that behavior which violates those laws or standards could harm Organization’s relations with those countries and the institutions therein, as well as Participant’s own health and safety. Participant is aware that if Participant violates the laws of the host country, Participant may place him or herself in legal jeopardy and that U.S. standards of due process may not apply. We understand that Participant is responsible for becoming informed of, and abiding by, all such laws and standards for each country Participant will visit as part of the Program and during designated independent time outside of the Program.

We understand and agree that Participant will attend to any legal problems Participant encounters with any foreign nationals or government solely at Participant’s own expense. Further, we understand that, while Organization will use its best efforts to assist the Participant, neither Organization nor its Assistants is responsible for providing Participant with legal representation. We agree to hold harmless and indemnify Organization and its Assistants of and from any and all expenses incurred by Organization and its Assistants arising from Participant’s violation of any laws of any host country, or assistance provided by Organization.

C. Acknowledgement and Assumption of Risks & Release and Indemnity Agreement
We have read, understand and agree to the terms of Organization’s Acknowledgement and Assumption of Risks & Release and Indemnity Agreement, which has been provided to us concurrently with this Agreement.

D. Photography and Media Use
We understand that Organization and its Assistants reserve the right to capture photographic, video, written, spoken, and other digital or analog media records (“Media”) of any of its programs and the Participants. We understand that the Media may capture Participant’s name, voice, and likeness (“Appearance”). We hereby assign all right, title, and interest that we may have in the Media, as well as any reproduction, product, or derivative work of the Media. The foregoing assignment includes the right of Organization to use the Participant’s name to identify the Participant in the Media. We hereby waive any right to inspect or approve Organization’s use of the Media and we release Organization, its affiliates, partners, employees, officers, licensees and assigns from any and all claims arising out of the use of the Media, including, but not limited to, invasion of privacy or rights of publicity, or any claims for consideration or compensation for my Appearance or the rights granted hereunder. We agree that Organization and its Assistants may use any Media of the Participant for promotional and/or commercial purposes, whether taken before, during, or after the Program. We understand that Organization and its Assistants cannot control any Media taken or produced by outside parties not affiliated with Organization or its Assistants, and we fully release Organization and its Assistants and Staff for injury or damages suffered as a result of any Media taken or used by any such outside parties.

E. Assistants
We understand and agree that Organization may, at Organization’s sole discretion and expense, employ or engage the services of such employees, subcontractors, partners or agents, as Organization deems
necessary to provide the Program and associated activities (“Assistants”). Organization’s Assistants may also use their own vendors and subcontractors.

F. Disclosure of Sensitive Communications
We understand that Organization and its Assistants reserve the legal, ethical, and moral right to determine whether to report to the Participant’s parents or guardians anything the Participant shares while on a Organization program regarding the personal history of threatened or performed abuse; physical, sexual, or mental assault; or any other act that jeopardizes that Participant’s well-being. If the Participant is 18 years of age or older, Organization or its Assistants will obtain the Participant’s permission first unless the situation is deemed serious or life threatening. In these circumstances, Organization and its Assistants reserve the right to communicate with parents without consent in the interest of the Participant’s safety and wellbeing.

G. Governing Law, Venue, and Dispute Resolution
We agree that California law (without regard to its “conflict of laws” rules) exclusively governs this Agreement, and any dispute we have with Organization and its Assistants, and all other aspects of Participant’s relationship with Organization and its Assistants, contractual or otherwise (collectively, a “Dispute”), without giving effect to principles of conflicts of law. In the event of a Dispute, the parties will first attempt to resolve the Dispute(s) through good faith negotiation. In the event that the Dispute(s) cannot be resolved through good faith negotiation, the parties will refer the Dispute(s) to a mutually acceptable mediator, the costs of which shall be divided equally between the parties. In the event that such Dispute(s) cannot be resolved through mediation, the parties will refer the Dispute(s) to the American Arbitration Association for resolution through binding arbitration by a single arbitrator pursuant to the American Arbitration Association’s rules applicable to commercial disputes. Any mediation or arbitration hereunder will be held in the United States of America, California. In the event that the dispute resolution procedures in this Section are found not to apply to a given Dispute, or in the event of a claim for injunctive relief, the parties agree that any judicial proceeding will be brought in the state courts of the United States of America, California. The parties consent to venue and personal jurisdiction there. The parties agree that, in the event of arbitration (or in the event of a lawsuit if this arbitration clause is deemed invalid or does not apply to a given Dispute) the prevailing party shall be entitled to costs and fees (including reasonable attorneys’ fees).

I. Severability
Should any provision of this Agreement be held to be void or unenforceable, the remaining provisions shall remain in full force and effect.

J. Amendments and Waiver
No modification of or amendment to this Agreement, nor any waiver of any rights under this Agreement, shall be effective unless in writing signed by the parties to this Agreement. No delay or failure to require performance of any provision of this Agreement shall constitute a waiver of that provision.

K. Entire Agreement
This Agreement, including all documents and policies referenced herein, sets forth the entire agreement and understanding of the parties relating to the subject matter herein and supersedes all prior or contemporaneous discussions, understandings and agreements, whether oral or written, between them relating to the subject matter hereof.

L. No Third Party Beneficiary
This Agreement is intended for the benefit of the parties hereto and their respective permitted successors and assigns, and is not for the benefit of, nor may any provision hereof be enforced by, any other person or entity.

9. ACKNOWLEDGEMENT AND AGREEMENT
We acknowledge that this Agreement includes a Medical Authorization, a release and waiver of certain legal rights, and other specified contractual obligations between us and The Suwandi Foundation and we sign the Agreement with our own free will. We acknowledge that acceptance of our participation in the Program is dependent upon the complete and timely submission of all required documents and agreements including but not limited to this Agreement and all documents and policies referenced in this Agreement.

1. Contribute to a positive environment that protects and supports children.

2. Avoid any situation where you are alone with a child, particularly in a secluded area where they cannot be observed by others.

3. Refrain from any action that could be considered physical, verbal, sexual, or mental child abuse. These forms of abuse may include:
– Physical Abuse: actions such as spanking, slapping, striking, intimidating.
– Verbal Abuse: actions such as humiliating, degrading, threatening.
– Sexual Abuse: actions such as inappropriate gesturing, touching, or language.
– Mental Abuse: actions such as neglecting, degrading, shaming, cruelty, and put-downs.

4. Directly inform a Suwandi Foundation staff member of any concerns or issues raised by a child about any case of suspected harm, abuse, neglect, or exploitation.

5. Always dress and act appropriately in accordance with local cultural values when children may or are present.

6. Behave with respect and maturity around children including being sure not to use foul, profane, or derogatory language. Do not yell or get overly angry.

7. Do not expose children to harmful or culturally inappropriate content including from social media, photographs, or gestures.

8. Always ask children if they want to be in a photo before facing the camera at them. Respect children who shy away or say no. Do not take photographs of children in distress or that could compromise their dignity.

9. Pay close attention to the safety of children during play and do not engage in rough play.

10. Never give gifts or donations directly to children unless discussed with Suwandi Foundation staff first.

11. Do not show favoritism or biases towards particular children.

12. Use positive techniques of guidance such as redirection, positive reinforcement, and encouragement rather than competition, comparison, and criticism.

13. Do not lie or make false promises.

14. Do not do things for children that they should be able to do for themselves such as dressing, tying shoes, or doing hair.

15. Limit physical contact with children. Fist bumps and high fives are appropriate. Refrain from initiating hugs.

16. Encourage children to play with each other, rather than only yourself.

17. Do not ignore children when they’re speaking. Actively listen and respond to them.

18. Do not dismiss children’s questions or ideas. Encourage curiosity and learning.

GENERAL PROGRAM

1. I will avoid engaging in risky or harmful behaviors, including renting or driving motorcycles, participating in unapproved activities, breaking laws, or disregarding the rules set by the Suwandi Foundation and Yayasan LMU. I will also refrain from any form of physical abuse, bullying, or harassment of others.

2. I will not participate in sexual assault, sexual misconduct, or physical abuse of any kind. I am committed to reporting any incidents I witness to ensure a safe and respectful environment for everyone.

3. I will follow local cultural expectations laid out by the Balinese Government Including Preserving Sanctity and Respecting Traditions, Financial Transactions, Traffic Regulations and Accommodation Choices. Visit: https://www.indonesia.travel/id/en/news/new-rules-for-foreign-tourists-in-bali-a-summary-you-dont-want-to-miss.html

4. I will not use drugs, including psychedelics, marijuana, CBD products, or any other illicit substances. I am committed to reporting any drug use I observe.

5. If I am under 21, I will refrain from drinking alcohol. If I am over 21, I will drink responsibly, ensuring that my consumption does not interfere with my participation or engagement in activities or volunteering. I recognize that my primary purpose here is to volunteer, not to party.

6. If I am uncertain about my behavior or actions, I will seek feedback from others on how I can improve. I am committed to being the best version of myself, a valuable volunteer, and a positive community member.

7. I am committed to restorative justice, which means that when I make a mistake, I will take full responsibility and make a deliberate effort to repair any harm caused. I will go above and beyond to address the issue, learn from it, and restore trust with those affected.

8. I will take full responsibility for managing my health and well-being independently by maintaining self-care routines, therapy, medications, and activities that support me in being the best version of myself.

9. I will commit to serving others who serve me, even when it is inconvenient. I will remain mindful that my role in this program is to serve, help, and provide care and support not only to the students at Yayasan but also to the staff at accommodations, Suwandi team, local program managers, and the community members I engage with.

10. I will be respectful in all interactions with local community members and other participants by being on time, staying adaptable, embracing new cultural experiences, and practicing empathy and patience.

11. I will actively engage in all activities by asking questions, showing genuine interest, being fully present, and minimizing my phone use to ensure I am an active listener.

12. I will embrace new experiences by stepping out of my comfort zone, staying open to trying new things, maintaining curiosity, and facing challenges with a positive attitude to remain flexible and go with the flow.

13. I will practice inclusivity by creating brave spaces where everyone feels valued and heard. I will engage in intentional reflection, both for myself and for other participants and local community members.

14. I will actively learn, practice, and use Bahasa Indonesia. I understand that by doing so, I will demonstrate a genuine commitment to the experience and to the people I am working with.

15. I will remain self-aware of my cultural biases, recognizing that my automatic reactions or responses to situations may be perceived differently than intended and may need adjustment. I will approach new cultures with an open mind, actively seeking to understand and embrace differences with greater consciousness and respect.

16. I will avoid forming exclusive relationships, including clique forming. This is not permitted on a Suwandi Foundation program. This includes sharing beds with a partner, asking others to leave a room to be alone with a partner, removing oneself from group experiences to be with a partner, or publicly displaying affection during group activities or in situations where it is inappropriate.

17. I will not engage in romantic or sexual relationships with any person outside of the group you are volunteering with. Different cultures have different expectations and values around physical and romantic relationships and it is important to respect the fact that we might not fully understand them.

18. While on the program, I will sleep at Khrisna Sunrise Homestay, returning by 12 am every night. I will not bring guests back to sleep over, acknowledging that I am here to serve the community and am prioritizing my ability to teach.

VOLUNTEER WORK

1. I will adhere to the Child Protection Policy at all times.

2. I will commit to spending the time necessary to create excellent and engaging lesson plans that align with The Suwandi Foundation and Yayasan LMU pedagogy.

3. I will appreciate, welcome, and embrace different ideas from everyone, including students, staff, and teachers. I will recognize that the style of education I have experienced in my life is not the “correct” style and will remain inclusive of other approaches to delivering education.

4. I will be collaborative and proactive on campus and in the classroom with staff, students and other volunteers. I will share responsibility and leadership in the classroom, striving to find a balance between myself, my co-teachers, and the local teachers.

5. I will embody the creative, innovative, and activity-based pedagogy of Yayasan LMU and The Suwandi Foundation both on and off campus.

6. I will act intentionally in my interactions with staff and students. I will keep in mind that my interactions with students can have lasting impacts and will ensure they are always thoughtful and motivated by positive intentions.

7. I will appropriately and mindfully share my experiences on social media, should I choose to do so, ensuring that I do not compromise the privacy or dignity of staff, students, other participants or community members.

8. I will communicate with the Suwandi Foundation team about any inappropriate incidents in the classroom, regardless of the form they take.

9. I will act as a role model and practice responsible behavior in front of any children and students in the community.

10. I will dress appropriately when on campus, ensuring not to wear tight or transparent clothing and covering my midriff, shoulders, knees, and chest. I will also be willing to wear traditional Balinese attire when asked by local staff and weekly on Thursdays.

WEEKENDS

1. I will complete the Weekend Travel Form, acknowledging my weekend time is a departure from Suwandi Foundation programming and I will be considered an independent traveler even if I choose to stay at Khrisna Sunrise Homestay.

2. I will ensure that my actions on the weekend do not interfere with the program’s weekly schedule and responsibilities and I will return to Khrisna Sunrise Homestay by Sunday at 9pm ready for my week ahead.

3. I will be a responsible traveler and continue intentional practices that have been discussed on the program, such as not engaging in illegal or risky behaviors.

4. I will maintain active communication with program staff through regular updates. In case of emergency, I will notify staff immediately, knowing that they will assist to our greatest capacity but cannot guarantee they can fix all your problems.

5. I will make conscious efforts to prioritize local businesses and vendors to avoid contributing to exploitative tourism practices.

6. I will actively continue to build inclusive communities to ensure group dynamics remain respectful.

7. I will continue to uphold program policies and expectations, as I acknowledge that despite independently traveling, I am still in the country on the visa provided by Yayasan Loka Mawa Upadhi and am a representative of the Suwandi Foundation.


PROGRAM DISMISSAL

I understand that failure to follow these guidelines may lead to restorative disciplinary action or removal from the program, at the discretion of The Suwandi Foundation staff.

The Suwandi Foundation reserves the right to immediately dismiss any Participant who places the safety of any other Participant, staff, or themselves at risk by violating expectations while traveling to, from, or on Suwandi Foundation Programs.

When a Participant is dismissed from a program for a breach of our Code of Conduct Policies, no refund will be given for any program costs or other associated costs for early dismissal. All costs associated with a Participant’s departure from the program will be the responsibility of the Participant and their family. There may be additional consequences such as loss of course credit, funding, or reporting of the violation to the institution providing credits or funding. Future participation in Suwandi Foundation programs will not be permitted for Participants dismissed for Code of Conduct Policy violations.