Fillable Cuesta College STUDENT PARTICIPATION FORM FOR FIELD TRIP

Fill Online, Printable, Fillable, Blank Cuesta College STUDENT PARTICIPATION FORM FOR FIELD TRIP Form

Use Fill to complete blank online CUESTA COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Cuesta College STUDENT PARTICIPATION FORM FOR FIELD TRIP

On average this form takes 5 minutes to complete

The Cuesta College STUDENT PARTICIPATION FORM FOR FIELD TRIP form is 2 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 10 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Cuesta College

BROWSE CUESTA COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
SAN LUIS OBISPO COUNTY COMMUNITY COLLEGE DISTRICT
STUDENT PARTICIPATION FORM FOR FIELD TRIP, ALTERNATE CLASS SITE, STUDENT
ORGANIZATIONS AND OFF-CAMPUS ACTIVITY OR PROJECT
I, ___________________________, understand that my participation in _______________________________
is subject to all of the following conditions, agreements, and understandings. By signing these documents, I
understand that I am (1) agreeing to all of the following conditions and agreements; and (2) have the following
understandings.
Pursuant to the California Code of Regulations, Subchapter 5, Section 55220, and Board Policy 4300 (AP4300),
by participating in the field trip(s)/excursions(s), alternate class site, student organizations and off-campus
activity or project (hereinafter collectively referred to as “Activity”), I am deemed by law to have waived any
and all claims, whether direct or indirect, against the San Luis Obispo County Community College
District and its trustees, officers, directors, employees, faculty/staff, volunteers and independent contractors for
injury, accident, illness, or death occurring during or by reason of the field trip/excursion.
I have no medical condition(s), which may jeopardize the health and safety of others or my own.
Furthermore, I commit to disclose, in writing, to the San Luis Obispo County Community College District
information of any medical, physical, or health condition(s) that may affect or jeopardize others or myself
during my participation in a field trip/excursion. I am voluntarily participating in the Activity. I am aware of
the risks associated with traveling to/from and participating in the Activity, which include but are not
limited to physical or psychological injury, pain, suffering, illness, disfigurement, temporary or permanent
disability (including paralysis), economic or emotional loss, and/or death. I understand that these injuries or
outcomes may rise from my own or other’s actions, inaction, or negligence; conditions related to travel; or
condition of the Activity location(s). Nonetheless, I assume all related risks, both known or unknown to me, of
my participation in this Activity, including travel to, from and during the Activity.
I acknowledge that I have been advised regarding the Cuesta College Student Conduct Code (Board
Policy 5500) and agree to abide by that Code while participating in the field trip/excursion. Further, I agree and
pledge that I will comply with all regulations and directions given me by faculty/staff while participating in the
program, including District officials, volunteers and employees of the host organizations, and all other officials
acting within their official capacities. I agree that I will comply with all applicable laws of the jurisdictions in
which I travel and will not engage in any conduct or behavior that causes potential harm to others, or that or
myself is disruptive to the trip, the sponsoring organization, the District, or the organization hosting our stay.
I understand and agree that the sponsoring organization and the District shall have the right to enforce
appropriate standards of conduct, and that they may at any time terminate my participation in the
Activity for failure to maintain these standards. This standard includes remaining abstinent from
alcohol, marijuana and illicit drugs for the duration of the Activity. If my participation is terminated, I
understand that I will be sent back to San Luis Obispo, California at my own expense and with no refund
of any fees or costs.
Unless specifically advised otherwise, I hereby acknowledge and understand that the college is not providing
transportation, and it is my responsibility to arrange for my own transportation to and from the Activity site. If
the District is providing transportation, but I choose to not use the District’s transportation, I take responsibility
to arrange for my own transportation to and from the Activity site.
2
Additionally, if I am arranging for my own transportation, I fully understand that:
• The driver of the vehicle in which I am riding, as either driver or passenger, is not driving on behalf or
as an agent of the San Luis Obispo County Community College District; the District has not verified the
driving record of the driver, or the condition of the vehicle.
• The college is in no way responsible, nor does the District assume liability, for any injury or loss,
whether direct or indirect, which may result from my transportation;
• Although the District may assist in coordinating the transportation and/or recommend travel time,
routes, carpooling, or caravanning, recommendation(s) or travel assistance provided is not mandatory
and I am participating with full knowledge of the limitations on the District’s liability and I personally
assume of all risks inherent with my participation in the Activity;
• Class/field trips will begin and be dismissed at the Activity site.
The undersigned agrees to defend, indemnify and hold harmless the San Luis Obispo County Community
College District (Cuesta College), its Board of Trustees, officers, agents and employees, individually and
collectively, from any and all costs, losses, claims, demands, suits, action, payments and judgments, including
legal costs and attorney fees arising from personal or bodily injuries, property damage or otherwise, regardless
of and however caused, brought or recovered against any of the above that may arise for any reason from or
during or be alleged to be caused by the undersigned’s participation in this Activity, including travel to, from
and during the Activity.
I understand the legal consequences of signing this document, including (a) releasing the District from all
liability, (b) promising not to sue the District, (c) and assuming all risks of participating in this Activity,
including travel to, from and during the Activity.
I have read and declare that I understand all provisions herein:
Name (Print): _______________________________________
Student ID#: ________________________________________
Signature: __________________________________________
Date: ______________________________________________
In the event of accident or illness, please notify the following parties:
Name ___________________________________________
Phone ___________________________________________
Relationship______________________________________
If the student is a minor under the age of 18, parent or guardian’s prior approval is mandatory:
Name of parent/guardian: ___________________________________________
Signature: __________________________________ Date: __________________
click to sign
signature
click to edit
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Cuesta College STUDENT PARTICIPATION FORM FOR FIELD TRIP

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 31 December 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document