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Waiver of Liability Form

RIO HONDO REGION ADULT EDUCATION CONSORTIUM

 

HOLD HARMLESS AGREEMENT AND/OR WAIVER OF CLAIMS

 

 

 

I, _______________________________ ,by accepting transportation on a vehicle provided by the Rio Hondo Region Adult Education Consortium (hereafter RHRACE) and/or participating in RHRAEC sponsored activities, agree to and hereby do indemnify, hold harmless and defend the RHRAEC, its constituent members and partners, their officers, agents and employees from every claim or demand made and every liability, loss, damage or expense, of any nature whatsoever, which may be incurred by reason of negligence, misuse of equipment or facilities, noncompliance with safety rules on the part of the undersigned, for any loss, injury, damage or liability that may arise or be caused by, in any way, as a result of participation in activities or use of RHRAEC-provided transportation. Further, I understand and accept that participation in any RHRAEC activities and /or transportation by a RHRAEC-provided vehicle are undertaken at my own risk.

 

In accordance with Education Code Section 72640, a student participating in a field trip or excursion hereby waives any and all claims against participating Districts, their officers, employees or agents and the State of California fro injury, accident, illness or death occurring or by reason of the field trip or excursion.

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Please Print Name

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Date

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Signature of Participant

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Signature of Parent if Participant is under the age of 18