Waiver of Liability for Local and Out-Of-State Travel 

 

Class/ Club: ___________________________________________________ 

 
Description of Event____________________________________________ 
Instructor/Advisor______________________________________________ 
Field Trip/Activity Date: __________________________________________ 
I acknowledge that there are certain risks inherent in my participation in field trips or off-
campus activities. I voluntarily assume all risk of injury to myself or damage my property 
and agree to hold harmless Orange County Community College, its directors, officers, 
employees and authorized agents from any and all liability, claims, or causes of action 
arising out of my transportation to and from and my participation in this field trip or off-
campus activity. If I choose to transport other persons or students in my personal 
vehicle to this activity, I certify that I have adequate insurance and I agree that I shall 
indemnify Orange County Community College against any claim brought against them 
by my passengers. 
I will follow the Orange County Community College Student Code of Conduct while 
participating in this activity. I will not possess or use alcohol or unlawful substances while 
I am participating in this activity. 
I have carefully read this agreement and fully understand its contents. I'm aware that 
signing this agreement constitutes a release of liability and I sign of my own free will. 
Participant/Student (Print Name) Date 
Participant/Student (Signature) 
Signature of Parent or Legal Guardian Date 
(If student is a minor) 
Emergency Contact Information 
Name: Relationship: 
Address: Telephone #: