Merced College Hold Harmless Agreement printable pdf download

Merced College Hold Harmless Agreement

MERCED COLLEGE

HOLD HARMLESS AGREEMENT

With reference to ______________________________________________ scheduled

on ______________________________ the following Hold Harmless Agreement is

offered:

I__________________________ agree that I will save and hold harmless Merced

College, its employees including appointed or elected officials and officers from any

and all liability for injuries and/or damages to myself or others while participating in

this Merced College field trip/excursion.

It is further understood that I assume full responsibility for my medical treatment

regardless of cause, should medical treatment be required.

_____________________________________

__________________________________

(Participant’s Signature)

(Date)

_____________________________________

__________________________________

(Witness)

(Date)

If under age of 18 - parent/guardian must sign below.

I am the parent/guardian of _____________________________ and give my permission for

_________________________________ to participate in the above field trip/excursion.

_____________________________________

____________________________

(Parent/Guardian’s Signature)

(Date)

_____________________________________

____________________________

Witness

(Date)

Merced College Hold Harmless Agreement