Student Field Trip Waiver
I, ________________________________________ (print name), hereby, for myself, my heirs, executors, administrators and assigns, waive and release any and all rights and claims for damages I have had against Delgado Community College, the Louisiana Community and Technical College System, the State of Louisiana and any and all agents, employees, representatives, successors and assigns of said parties for any and all injuries which may be suffered by me in connection with my participation in attending, completing or participating in any field trip associated with Delgado Community College.
_____________________________________ ___________
Student’s Signature Date
Received: _____________________________________ ___________
Faculty Member Conducting Field Trip Date
Form 1502/001 (9/09)