WAIVER

This waiver is in connection with the practicum program for ________________________

The trainee acknowledges that the permission granted by Amherst Laboratories, Inc. is
made subject to the condition which he/she hereby accepts and agrees to:
THAT THE COMPANY WILL NOT ASSUME ANY RESPONSIBILITY WHATSOEVER
FOR ANY INJURY OR ACCIDENT WHICH MAY HAPPEN TO HIM/HER WITHIN OR
OUTSIDE THE COMPANY PREMISES, NOR WILL THE COMPANY PAY HIM/HER
ANY SALARY DURING THE ENTIRE PERIOD OF SAID PROGRAM. IT IS
UNDERSTOOD THAT THERE IS NO EMPLOYER-EMPLOYEE RELATIONSHIP
BETWEEN THE COMPANY AND THE TRAINEE.
This waiver will be in effect for the duration of the practicum program scheduled from

_____________________________ to _________________________________
(Month, day & year when practicum will start)

(Month, day & year when the practicum will end)

Done this ____________ day of ______________, _______________ in the municipality of Bian

(first day of practicum)

(month)

(year)

Conform:

___________________________
STUDENT-TRAINEE
(Signature over printed name)

___________________________
PARENT/GUARDIAN
(Signature over printed name)

___________________________
COMPANY REPRESENTATIVE

____________________________
DEAN/SCHOOL COORDINATOR