Student Field Trip Waiver
I, ________________________________________ (print name), voluntarily and knowingly assume any risk associated therewith and waive my right to assert any claim against Delgado Community College, the Louisiana Community and Technical College System, the State of Louisiana, or any of its Departments, Agencies, Boards and Commissions, as well as its officers, agents, servants, employees and volunteers for injury or damage to my person or property resulting from my participation in attending, completing or participating in any field trip associated with Delgado Community College.
I further release and hold harmless the State of Louisiana, all State Departments, Agencies, Boards and Commissions, as well as its officers, agents, servants, employees and volunteers, from any and all claims, demands, causes of action, expense and liability arising out of injury or death to my person as a result of my participation in attending, completing or participating in any field trip associated with Delgado Community College, except for those claims that result from the negligence of Delgado Community College.
_____________________________________ ___________
Student’s Signature Date
Received: _____________________________________ ___________
Faculty Member Conducting Field Trip Date
Form 1502/001 (10/18)
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