Waiver Of Liability Form For Lexlaray And Summit Students (Page 2 of 2) in pdf

Waiver Of Liability Form For Lexlaray And Summit Students Page 2

Students Must Read this Waiver Before Signing:

I, the undersigned, desire to provide transportation to myself to and from an offsite

educational location. I understand that such travel may be hazardous and involve the risk

of personal injury, death, as well as damage to property, when traveling to and from the

offsite educational location. I further understand that there are inherent risks in motor

vehicle travel, such as accidents with other drivers, existing dangerous conditions in the

roadways and thoroughfare, forces of nature, and other situations not presently

cognizable by the District.

I hereby assume all risks and dangers and will hold harmless Odessa RVII School

District their officers, agents, and employees and all groups and persons connected

herewith, from all actions, causes of actions, suits and any claims, demands, and

liabilities whatsoever, both in law and equity, and/or any of their respective officers

agents, employees, in connect with providing transportation for myself to and from any

offsite educational location, except in cases of gross negligence on the part of the

District.

The terms hereof shall be binding on my executors, heirs, administrators, and assignees,

and shall serve as a general release for me while transporting myself to and from the off

site educational location.

SIGN FOR ASSUMPTION OF RISK, GENERAL RELEASE, AND

WAIVER OF CLAIMS:

Student’s Signature:

_________________________________________

Date:__________________

Parent’s/Legal Custodian’s Signature:

_________________________________________ Date:___________________

Medical Insurance Company:________________________ Policy No._____________

Insurance Company Telephone No.:___________________ Group No.______________

Waiver Of Liability Form For Lexlaray And Summit Students Page 2