Welcome to the Umbra Institute

Please take 10 minutes to fill in all of the necessary information to register at the Umbra Institute. Before starting, make sure you have your passport information.

Filling in this form and signing the waivers is MANDATORY in order to participate at the program.

You will find the following forms:

- Personal Info
- Health Info
- Behavior Contract
- Waiver of Liability and Hold Harmless Agreement
- Housing Waiver
- GDPR European Privacy Law Agreement

Emergency Contact/Parent/Guardian 1

Emergency Contact/Parent/Guardian 1

Umbra Institute Participation Agreement

Before signing this contract, please read and make sure you understand the implications of this document and its terms and conditions. By electronically signing this form, you are accepting the terms of the contract and will commit to abide by the following regulations.

I understand that while studying abroad at the Umbra Institute in Perugia, Italy, I am fully responsible for my conduct according to my home institution’s Code of Student Rights and Responsibilities or particular Code of Honor.

I recognize that depending on how I represent the Umbra Institute, my conduct can have an effect on the educational benefits both for myself and my peers. I agree that I will conduct myself in a way that will mutually benefit myself, my peers and the Umbra Institute. I also agree to follow all local and national laws, recognizing that such standards might be significantly different from those at my home institution and/or country. I understand that there will be unsupervised free time during which I am responsible for my own safety and conduct.

Excessive consumption of alcoholic beverages, loud and irreverent behavior toward others, sexual harassment, use of illegal drugs, abusive language, unauthorized absences and/or unwillingness to cooperate with members of the faculty, staff and sponsors are all unacceptable behaviors for myself and others. I understand that any behavior such as those stated above, or that is potentially damaging to the Umbra Institute, Umbra students and/or staff or any other participating party, may lead to program dismissal. I agree that I will receive no refunds for any missed part of the program and I am responsible for any additional fees that may incur due to dismissal.

Should my conduct during supervised or unsupervised time put myself or my colleagues at risk, I understand that the Director of the Umbra Institute has the right, responsibility, and sole discretion to levy whatever sanctions are deemed appropriate, including immediate dismissal from both the program and housing accommodations.

Upon notification of my dismissal from the Umbra Institute, I understand that I am no longer enrolled in the program, and therefore am responsible for my own travel arrangements.

Waiver of Liability and Hold Harmless Agreement

I hereby affirm that I have voluntarily enrolled in a study abroad program at the Umbra Institute in Perugia, Italy (hereinafter "Institute").

In consideration of receiving permission to participate in this program, I hereby release, waive, discharge and covenant not to sue the Institute, its officers, agents, servants or employees, (hereinafter referred to as releases) for any loss, damage, or injury, including death, that may be sustained by me, or any property belonging to me, whether caused by the negligence of the releases, or otherwise, while participating in such activity, or while in, on or upon the premises where the activity is being conducted.

I am fully aware of the risks involved and hazards connected with the said activities: airplane crashes, motor vehicle accidents, political unrest, terrorist incidents, sickness and criminal acts, as well as other risks that may not be foreseeable. I hereby elect to voluntarily participate in, including but not limited to, all activities, travel and excursions organized by the program, with full knowledge that said activities may be hazardous to my property and myself. I hereby assume any and all such risks. I voluntarily assume full responsibility for any risks of loss, property damage or personal injury, including death, that may be sustained by me, or any loss or damage of property owned by me, as a result of being engaged in any such an activity or related activity, whether caused by negligence of releases of otherwise.

I further hereby agree to indemnify and hold harmless the releases from any loss, liability, damage or costs, including court costs and attorney fees, that may incur due to my participation in any activities, whether caused by negligence of releases or otherwise.

I understand that the Umbra Institute does not maintain an insurance policy covering circumstances arising from my participation in any travel, or any activity associated with or facilitating that participation. As such, I am aware that I should review my personal insurance portfolio.

I agree to grant to the Umbra Institute and its authorized representatives permission to record on photography film and/or video, pictures of my participation. I further agree that any or all the material photographed or recorded may be used, in any form, and further that such use shall be without payment of fees, royalties, special credit or other compensation. I also grant permission to the Umbra Institute to reproduce or alter any portion of the photo images or video that have been taken by me (or by Umbra Institute) that have been submitted to the Umbra Institute, including through the Umbra App and Umbra Social Media and web outlets. I understand I may submit a request in writing to the Institute if I prefer to “opt out” of the photo release and royalty waiver.

It is my express intent that this waiver of Liability and Hold Harmless Agreement shall bind the members of my family and spouse, if I am alive, and my heirs, assigns and personal representative, if I am deceased, and shall be deemed as a release, waiver, discharge and covenant not to sue the above-named releases. I hereby further agree that this Waiver of Liability and Hold Harmless agreement shall be construed in accordance with the laws of Italy and the State of New Jersey.

In signing this release, I acknowledge and represent that I have read the foregoing Waiver of Liability and Hold Harmless Agreement, and understand it as my own free act and deed; no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made; I am at least eighteen (18) years of age and fully competent; and I execute this release for full, adequate and complete consideration fully intending to be bound by the same.

Student Housing Agreement

Before signing this contract, please read and make sure you understand the implications of this document and its terms and conditions. By electronically signing this form, you are accepting the terms of the contract and will commit to abide by the following regulations. Be aware that breaching of this contract may lead to eviction with no refund and/or being charged with costs of damage and/or professional cleaning.

AGREEMENT
I understand that I must respect the privacy of the other occupants of my apartment and the other condominium residents, and that excessive noise and unacceptable behavior on the premises may lead to eviction. I further understand that the landlord and the Umbra Institute reserve full license to evict a student for inappropriate behavior, as deemed by the Institute, and if a student is evicted there shall be no refund.

I understand that I am responsible for the condition and cleanliness of the rooms and all other communal areas within the residence, including furniture, equipment and fittings. I am expected to take adequate care of equipment and furnishings and I am responsible for any loss or repairs to items, furnishings and equipment.

I understand that I must permit the housing agency, its servants, maintenance and cleaning crews to enter the apartment at any reasonable time to inspect and/or carry out cleaning or work for any purpose in the furtherance of their responsibilities or duties. Prior notification may not always be possible.

I understand that I will not hold the Umbra Institute liable for personal injury of any kind associated with the apartment, residence, home-stay or other housing I have been assigned.

I understand that I must vacate the premises on or before the date communicated to me by the Institute and that I will leave the premises in the manner in which it was given to me or I may be responsible for cleaning and/or other incurred expenses.

I understand in leaving the apartment for any reason at any time before the end of the semester that I forfeit all housing monies paid.

I understand that ANY charges incurred for any reason while living in any of the assigned housing will be distributed equally among all the occupants unless individual(s) that incurred such charges take responsibility.

I affirm that I have received and read a copy of the Umbra Institute Quality & Safety Policies included in the green orientation folder. This document is also posted in the Umbra buildings in Piazza IV Novembre 23. I will report any equipment failure or dangerous situation immediately to an Umbra staff member.

My Responsibilities Towards Others Involved

I understand that I will respect the other occupants of my apartment and other condominium residents and their privacy.

I understand that I will therefore refrain from excessive noise after 11pm and unacceptable behavior on the premises.

I understand that for security reasons, and in consideration of others, I may not have overnight guests.

I understand that I will participate in the division and taking care of tasks including cleaning, tidying up and other necessary tasks to keep the apartment livable for everybody involved. I understand that this may involve adapting my personal habits.

I understand that I will put in my best effort to live well together with the other students involved and cooperate when any problems/issues amongst us should have to be solved, with or without Umbra’s intervention in the matter.

I further understand that the landlord and the Institute reserve full license to evict a student for inappropriate behavior, as deemed by the Institute, and if I should be evicted there shall be no refund.

Utilities & Expenses

Rent and utility expenses, excluding phone charges, are included in the program fee. Students are expected to respect the privilege of this by carefully monitoring the usage of the utilities. The Umbra Institute has allocated a significantly higher amount for utilities coverage – more than 20% above standard. Excessive use of utilities (electric, gas, heat, water) resulting in bills in excess of the allotted amount will result in additional charges which will be distributed equally among the occupants.

I understand that I should not use the telephone, even if there is one available, in the apartment. However, if for any reason I do use the telephone, I will be responsible for my portion of the telephone charges during my stay.

I understand that I will be responsible for my portion of the excess utility expenses including but not limited to electricity, heating, and gas expenses.

Apartment Cleaning Policy Waiver

I understand that I am responsible for keeping the apartment clean and tidy as per the landlord’s and Umbra’s minimal cleaning standards. Thorough weekly cleaning of kitchen includes stovetop, counter tops, and floor. Cleaning the bathroom must include keeping the shower drain clear and cleaning shower/tub, sink and toilet.

Both kitchen and bathrooms must be cleaned WEEKLY and either Umbra staff or landlords can be expected to stop by at any time during the term. If it's determined by the Umbra staff that my roommates and I are not able to maintain the apartment according to the aforementioned Umbra standards, a cleaning service will be employed to do so. In this case, I understand that all occupants of the apartment will be charged an equal portion for this professional cleaning service (200€ per apartment).

IF YOU HAVE SET UP YOUR OWN HOUSING ARRANGEMENTS, THIS HOUSING AGREEMENT AND CLEANING POLICY WAIVER DOES NOT APPLY TO YOU. (please sign it anyway in order to finish registration)