Dean of Students Office
Revised 8/1/2018
Page 2 of 2
Release of Liability and Student Travel Training Acknowledgment
The undersigned, being over the age of 18 years, hereby acknowledges there are certain risks associated with participating in
events and/or activities on and off campus. In consideration of Collin County Community College District (Collin College)
allowing me to participate in collegiate events and/or activities, I hereby assume all risks associated with any event and/or
activity and with the travel related thereto. I assume full and complete responsibility for any self- injurious behavior,
injury, or accident which may occur to me or the vehicle in which I am driving or riding in connection with the event and/or
activity. I also agree and authorize Collin College employees and/or agents to take any and all action they deem necessary
to stop any physical injurious behavior I may inflict upon myself or others. I release Collin College of any and all liability
related to their intervention in stopping such injurious behavior. I also agree that although I am giving Collin College the
right to intervene in these situations, they are in no way under a duty to intervene. I understand that the Family
Educational Rights and Privacy Act of 1974 (FERPA) allows for the disclosure of information from a student’s educational
records without the student’s consent to appropriate parties in a health or safety emergency. I knowingly and
intentionally hereby release and waive any and all claims, of whatsoever kind or nature, that I may have against Collin
College, its Board of Trustees, employees, agents, and representatives, resulting in whole or in part, from participation in the
event and/or activity. This release and waiver shall be binding on my heirs, administrators, and assigns.
I also agree that during the time I am involved with the above event and/or activity, I am bound by all rules, regulations,
policies, procedures, and guidelines governing me and my conduct as set forth by the Collin College department or
registered student organization, in the Student Code of Conduct (found in the current Collin College student handbook), and
in the current Collin College Student Organization Procedures Manual (SOPM).
By submitting this form, I acknowledge I have completed mandatory Student Travel Training as required of all students and
responsible parties participating in Collin College-sponsored trips. I understand and agree to comply with all applicable Collin
College policies, student travel procedures, and the Student Code of Conduct.
Participant's Signature: Date:
Parent or Guardian Release of Liability
The undersigned, parent or guardian of the student named above who is under the age of 18 years, hereby acknowledges
there are certain risks associated with participating in events and/or activities on and off campus. In consideration of
Collin County Community College District (Collin College) allowing the student to participate in the above event and/or
activity, I hereby assume all risks associated with the event and/or activity and with the travel related hereto. I assume
full and complete responsibility for any self-injurious behavior, injury, or accident which may occur to the student or the
vehicle in which the student is driving or riding in connection with the event and/or activity. I also agree and authorize Collin
College employees and/or agents to take any and all action they deem necessary to stop any physical injurious behavior the
student may inflict upon him- or herself or others. I release Collin College of any and all liability related to their intervention
in stopping such injurious behavior. I also agree that although I am giving Collin College the right to intervene in these
situations, they are in no way under a duty to intervene. I understand that the Family Educational Rights and Privacy Act
of 1974 (FERPA) allows for the disclosure of information from a student’s educational records without the student’s consent
to appropriate parties in a health or safety emergency. I knowingly and intentionally hereby release and waive any and all
claims, of whatsoever kind or nature, that I or the student may have against Collin College, its Board of Trustees, employees,
agents, and representatives, resulting in whole or in part, from participation in the event and/or activity. This release and
waiver shall be binding on my heirs, administrators, and assigns.
I also agree that during the time the student is involved with the above event and/or activity, the student is bound by all
rules, regulations, policies, procedures, and guidelines governing the student and his or her conduct as set forth by the Collin
College department or registered student organization, in the Student Code of Conduct (found in the current Collin College
student handbook), and in the current Collin College Student Organization Procedures Manual (SOPM).
Parent or Guardian's First Name: Parent or Guardian’s Last Name:
Parent or Guardian's Signature: Date:
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