Fill and Sign the Release Regarding Form

RELEASE The undersigned student desires to participate in Field Trips ( A Field Trip @ ) sponsored by the Psychology Department of _____________to be held during the _________ Semester of ___________________ to area institutions in the ________, __________, and __________ County areas. In consideration of being allowed to participate in said Field Trip, the undersigned does hereby release and discharge ____________________, and all its officers, faculty members, staff, trustees, and employees from any and all claims for damages for personal injury, death, or property damage which I may have, or which may subsequently accrue to me as a result of my participation in said Field Trip and/or as a result of my travel to, from, and during said Field Trip. This release is intended to discharge in advance ____________________ and all persons described above from and against any and all liability arising out of or connected in any way with my participation in said Field Trip, and I hereby agree to assume all risks associated with said Field Trip and to release and hold harmless ____________________ and all persons mentioned above who might otherwise be liable to me (or my heirs) for damages. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assigns. WITNESS my signature, this the ___ day of ______________, 20___. Print name:____________________________________ * Signature:_____________________________________ *( Must be signed by parents if under age 18 .)