York University Travel Registry

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Welcome to the York University Travel Registry. All students participating in University sanctioned international activities are required to enroll in this travel registry. Your safety and security when going abroad for University activities is our mutual priority and the information provide on this travel registry will enable York to monitor travel advisories and safety/security concerns. It will also allow us to locate and provide help in case of an emergency overseas. To ensure your safety when traveling, please also review the advice on the York international travel safe webpage.

Privacy

Privacy: Personal information in connection with this form is collected under the authority of The York University Act, 1965 and will be used for the purpose of administering your participation in a York University program abroad and related purposes. If you have any questions about the collection, use and disclosure of your personal information by York University, please contact York International, York University, 200 York Lanes, 416-736-5177.

Contact at the university

If you require help or have any questions, please contact us: safetyabroad@yorku.ca and goglobal@yorku.ca
Personal Information
Your Full Name Your Full Name * First Last
Student Number *
Maximum of 9 digits allowed. Currently Entered: 0 digits.
Country of Citizenship *
Current Studies at York University
Level of Study *
Faculty of Study *
Program of Study *
International Experience
Destination Country *
Host Institution *
Program Type While Abroad *
Start Date Start Date * / MM / DD YYYY
End Date End Date * / MM / DD YYYY
Contact Information While Abroad
Destination Country *
City *
Phone Number While Abroad *

Please enter numbers only. Area code or '+' sign is optional. Do not include dashes or spaces.
York University Email *
Personal Email *
Travel Details
Departing Airline and Flight Number *
Departure Flight Date Departure Flight Date * / MM / DD YYYY
Connecting Airline & Flight Number (if applicable)
Returning Airline and Flight Number *
Return Flight Date Return Flight Date * / MM / DD YYYY
Emergency Contact Information
Emergency Contact Full Name Emergency Contact Full Name * First Last
Relationship *
Emergency Contact Email *
Emergency Contact Number Emergency Contact Number * - ### - ### ####
Insurance Information

York University has partnered with GuardMe Insurance to support the safety and well-being of students traveling abroad. This partnership offers comprehensive insurance coverage and benefits tailored to meet the needs of both students and the university as a whole.

GuardMe covers medical, emergency, evacuation, and 3rd party liability, among others. Please read the GuardMe benefit summary for more information. Students must register directly with GuardMe.
Are you an international student returning to your home country for your international experience? *

Are you an international student returning to your home country for your international experience? Yes No
If your answer is "yes" above, please complete and upload the Insurance Waiver Form

Attach Files
Insurance Company *

Insurance Company GuardMe Other - exemption approval required - email SafetyAbroad@yorku.ca
If your answer above is "other" please put what insurance company you have obtained
Insurance Policy Number *
Coverage Start Date Coverage Start Date * / MM / DD YYYY
Coverage End Date Coverage End Date * / MM / DD YYYY
Please upload a copy of proof of coverage/insurance *

Attach Files
Assumption of Risks, Responsibility, Release, Waiver and Indemnity Agreement

Assumption of Responsibility

I shall abide by the Program’s rules and all applicable policies, procedures, guidelines, rules, regulations and codes governing student conduct of each of York University and the host institution, as well as the laws of the host country. I shall ensure that I have made appropriate travel arrangements and I have adequate and sufficient medical, personal health, dental and accident insurance coverage, as well as protection and coverage for my personal possessions, for the duration of the Program.

York University does not carry accident or injury insurance for my benefit and there may be matters for which I could be held financially responsible, for my own expenses or losses of those of other persons, particularly if I am at fault personally in the cause of such expenses or losses. I am accountable in all respects for my own actions, omissions and negligence, and I shall not ask York University, its Board of Governors, officers, employees, and agents to assume or accept the consequences thereof. Further, I am responsible for any claims made by third parties against York University, its Board of Governors, officers, employees, and agents in relation to such actions, omissions and negligence.

I have been advised by York University of such risks, dangers and hazards as well as the need to act in a responsible and reasonable manner at all times. York University does not supervise any of the host institution academic programs, living arrangements, or extracurricular activities during my participation in the Program. Furthermore, York University ceases to be my sponsor should I elect to remain abroad at the location of the Program or go elsewhere after the Program. My electronic signature below is given freely in order to indicate my understanding and acceptance of these realities and my assumption of responsibility.

This is the description of your section break.

I Agree with the Assumption of Responsibility as stated above *

I Agree with the Assumption of Responsibility as stated above Yes

Release, Waiver and Indemnity

I hereby release York University, its Board of Governors, officers, employees, agents, successors and assigns (the “Released Parties”) from any and all losses, liabilities, damages, injuries including death, and any other liability of any kind including negligence, howsoever arising out of or in connection with my participation in the Program or travel abroad, and I hereby waive all claims, demands, lawsuits, costs, and expenses I may incur including legal fees and disbursements.

I shall indemnify and hold harmless the Released Parties from any and all losses, liabilities, damages, injuries, claims, demands, lawsuits, costs, expenses including legal fees and disbursements, and any other liability of any kind including negligence, howsoever arising out of or in connection with my participation in the Program or travel abroad.

This Agreement is governed by the laws of the Province of Ontario and federal laws of Canada applicable therein. This Agreement survives termination of my participation in the Program. This Agreement cannot be modified or interpreted except in writing by York University and no oral modification or interpretation is valid. This Agreement ensures to the benefit of and is binding upon me, my heirs, next of kin, executors, administrators, representatives, successors and assigns.

This is the description of your section break.

I Agree with the Release, Waiver and Indemnity as stated above *

I Agree with the Release, Waiver and Indemnity as stated above Yes

Photos, Videos and Recordings

I hereby grant permission to York University and its representatives the right to reproduce, use, exhibit, display and broadcast images, videos and written work submitted by me to York University for my participation in the Global Learning Program. I further grant York University and its representatives the right to distribute and create derivative works of images and recordings in any media now known or later developed as well as my name for promoting, publicizing or explaining York International and its activities and for administrative, educational or research purposes. I acknowledge that York University owns all rights to the images, videos and written work as created and in the derivative works.

I hereby waive any right to inspect or approve the use of the images, videos or of any written copy. I further waive all moral rights. I also waive any right to royalties or other compensation arising from or related to the use of the images, videos or materials.

I hereby release, defend, indemnify and hold harmless York University, its Board of Governors, officers, employees or agents from and against any claims, damages or liability arising from or related to the use of the images, recordings or materials, including but not limited to claims of defamation, invasion of privacy, or rights of publicity or copyright infringement, or any misuse, distortion, blurring, alteration, optical illusion or use in composite form that may occur or be produced in taking, processing, reduction or production of the finished product, its publication or distribution.

I am 18 years of age or older and I am competent to contract in my own name. I have read this document before signing below, and I fully understand the contents, meaning and impact of this permission, waiver, indemnity and release. This permission, waiver, indemnity and release is binding on me, my heirs, executors, administrators and assigns.

This is the description of your section break.

I Agree with the Photos, Videos and Recordings as stated above *

I Agree with the Photos, Videos and Recordings as stated above Yes No

Disclaimer

I certify that the information given in this form and the documents provided are correct and complete to the best of my knowledge and belief. *

I certify that the information given in this form and the documents provided are correct and complete to the best of my knowledge and belief. Yes

I hereby confirm that I will comply with the laws of my host country and with the rules and regulations of the hosting institution. *

I hereby confirm that I will comply with the laws of my host country and with the rules and regulations of the hosting institution. Yes

I hereby acknowledge that it is my responsibility to obtain all required travel documents for the countries that I will travel to during the program and for my re-entry to Canada (visas, passport, proof of immunization, etc.) *

I hereby acknowledge that it is my responsibility to obtain all required travel documents for the countries that I will travel to during the program and for my re-entry to Canada (visas, passport, proof of immunization, etc.) Yes

I hereby acknowledge that it is my responsibility to obtain all required vaccinations for my destination, and seek out appropriate medical advice about my planned travel. *

I hereby acknowledge that it is my responsibility to obtain all required vaccinations for my destination, and seek out appropriate medical advice about my planned travel. Yes

I have taken notice that the information on this form will be stored electronically and used by the international office in accordance with the provisions of the Data Protection Act. *

I have taken notice that the information on this form will be stored electronically and used by the international office in accordance with the provisions of the Data Protection Act. Yes

International Travel Checklist

I understand my risks and responsibilities as a traveler, and I have completed the waiver and liability form. *

I understand my risks and responsibilities as a traveler, and I have completed the waiver and liability form. Yes

I have purchased either GuardMe or another health insurance that covers the entirety of my trip, from departure date to return date. *

I have purchased either GuardMe or another health insurance that covers the entirety of my trip, from departure date to return date. Yes

I have provided York International with emergency contact information. *

I have provided York International with emergency contact information. Yes

I have ensured that my emergency contact(s) are aware of my travel plans and know how to contact me. *

I have ensured that my emergency contact(s) are aware of my travel plans and know how to contact me. Yes

I agree to consult Global Affairs Canada regularly in order to follow the latest travel advisories. *

I agree to consult Global Affairs Canada regularly in order to follow the latest travel advisories. Yes

I will register with my country’s embassy. For Canadians this can be done through the Global Affairs Canada website or by downloading the Travel Smart app. *

I will register with my country’s embassy. For Canadians this can be done through the Global Affairs Canada website or by downloading the Travel Smart app. Yes

International students or Canadian permanent residents: I will carry my valid study permit, Canadian visa, and permanent resident card (as applicable) and ensure my documents do not expire while I am abroad. I understand that I may be prevented from returning to Canada if my documents are not valid. *

International students or Canadian permanent residents: I will carry my valid study permit, Canadian visa, and permanent resident card (as applicable) and ensure my documents do not expire while I am abroad. I understand that I may be prevented from returning to Canada if my documents are not valid. Yes

I understand that it is my responsibility to thoroughly research my destination and the risk associated with Travel. I have documented these risks in a risk assessment plan and I will follow all of the mitigation strategies. *

I understand that it is my responsibility to thoroughly research my destination and the risk associated with Travel. I have documented these risks in a risk assessment plan and I will follow all of the mitigation strategies. Yes

I am aware that there could be several reasons that lead to the cancelation of my trip including but not limited to, safety, public health, the government of Canada travel advisories, Host country/institute restrictions or travel bans. I understand that I will be responsible for costs associated with trip cancellation and delays to my academic program should this happen. *

I am aware that there could be several reasons that lead to the cancelation of my trip including but not limited to, safety, public health, the government of Canada travel advisories, Host country/institute restrictions or travel bans. I understand that I will be responsible for costs associated with trip cancellation and delays to my academic program should this happen. Yes

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Enter Your Email Address *

A special link to resume the form will be sent to your email address.

York University Travel Registry

York University Travel Registry

Page 1 of 2 - Travel Registry

Personal Information

Current Studies at York University

International Experience

Contact Information While Abroad

Travel Details

Emergency Contact Information

Insurance Information

Assumption of Risks, Responsibility, Release, Waiver and Indemnity Agreement

Disclaimer

International Travel Checklist