Student Name _____________________________________
Waiver of Liability for Orientation and Off-Campus Trips and Activities
I understand and acknowledge that there is risk of injury to my child by his/her participation in off-
campus trip and activities. I further understand that it is voluntary for my child to participate and that the
college does not require his/her participation. I hereby release Edmonds Community College and the
State of Washington, its employees, officers, agents and trustees, and waive for myself, my heirs,
executors, administrators and assign any and all right and claims for damages from any and all injuries
that my child may suffer as a result of his/her voluntary participation in trips and/or activities.
I further agree to hold harmless and indemnify Edmonds Community College, its employees, officers,
agents and trustees for any action, claim, or proceeding initiated as a result of any injury suffered by my
child or any third party through his/her participation in any trips and/or activities.
By signing this Waiver of Liability for Off-Campus Trip and Activities form, I acknowledge that I have
read its contents and warning, that I understand its contents and warning, and that I agree to its terms.
_____________________________ ________________________________
Signature of Parent/Guardian Date
Consent to Medical Care and Treatment of Minor Children
Hospitals and physicians may be reluctant to treat or care for children without consent from parents or
legal guardians. This can cause problems if the child has a medical emergency and parents/guardians are
not readily available to consent to treatment.
Copies of this form will be made available to International Education Division, International Student
Services, Housing, and Student Programs offices of Edmonds Community College.
I, ____________________________________, the natural parent/legal guardian of
___________________________________(Student), authorize and consent to medical, surgical and
hospital care, treatment and procedures to be performed for my child by a licensed physician, or hospital
when, in the sole discretion of the attending physician, such care, treatment and procedures are
immediately necessary or advisable in the interest of my child’s health and well-being, and it’s not
advisable to take the time to contact me in advance.
Under the circumstances set forth above, I elect not to be informed in advance of the nature and character
of the proposed treatment, its anticipated results, possible alternatives, and the risks, complications and
anticipated benefits involved in the proposed treatment and the alternative forms of the treatment,
including non-treatment.
_____________________________ ________________________________
Signature of Parent/Guardian Date
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