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GENERAL INFORMATION

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Forms
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Service Department Billing
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Use of Institutional Name or Logo (Trademark Policy Statement)

Contents of this page:

A.  Informed Consent and Assumption of Risk Form
B.  To download a copy of the Informed Consent and Assumption of Risk Form
C.  Student/Participant Release and Indemnity Agreement
D.  To download a copy of the Student/Participant Release and Indemnity Agreement

 

 

TRINITY UNIVERSITY

INFORMED CONSENT AND ASSUMPTION OF RISK

Trinity University is a non-profit educational institution.  References to Trinity University include “TU”, its trustees, officers, officials, employees, volunteers, students, agents, and assigns.

In consideration of my/my minor child’s enrollment in this Program, I agree as follows:

SPECIFIC HAZARDS OF TRAVEL OR PROGRAM: Despite precautions, accidents and injuries can occur. I understand that traveling, doing fieldwork or being in a large city may be potentially dangerous, and that Participant may be injured and/or lose or damage personal property as a result of participating in the Program.  Therefore, Participant ASSUMES ALL RISKS RELATED TO THE ACTIVITIES EXCEPT FOR RISKS CAUSED BY TU’S NEGLIGENCE, GROSS NEGLIGENCE OR INTENTIONAL MISCONDUCT.  These risks include, but are not limited to:

  

 

 

 

INSTITUTIONAL ARRANGEMENTS: I understand that TU is not an agent of, and has no responsibility for, any third party which may provide any services including food, lodging, travel, or other goods or services associated with the Program.  I understand that TU may provide these services only as a convenience to participants and that accordingly, TU accepts no responsibility, in whole or in part, for delays, loss, damage or injury to persons or property whatsoever, caused to Participant, while traveling or while staying in designated lodging.  I further understand that TU is not responsible for matters that are beyond its control.  I acknowledge that TU reserves the right to cancel the trip without penalty or to make any modifications to the itinerary and/or academic program as deemed necessary by TU. 

INDEPENDENT ACTIVITY: I understand that TU is not responsible for any loss or damage Participant may suffer when traveling independently or otherwise separated or absent from any TU activity.  In addition, I understand that any travel that Participant does independently before or after the TU sponsored Program is entirely at Participant’s own expense and risk.

I, individually, (and where applicable on behalf of my minor child, Participant,) and on behalf of my heirs, successors, assigns and personal representatives, hereby RELEASE and FOREVER DISCHARGE Trinity University, its employees, agents, officers, trustees, contractors and representatives (in their official and individual capacities) from any and all liability whatsoever for any and all damages, losses or injuries (including death) sustained to my (or my minor child’s) person or property or both, including but not limited to any claims, demands, actions, causes of action, judgments, damages, expenses and costs, including attorneys’ fees, which arise out of, result from, occur during or are connected in any manner with Participant’s independent travel, and any non-course required activities, excursions, side trips or field trips in which Participant voluntarily undertakes while enrolled in the Program.

HEALTH AND SAFETY:  Participant is hereby advised to consult with a medical doctor with regard to Participant’s personal medical needs.  I state that there are no health-related reasons or problems that preclude or restrict Participant from participating in this Program.  Participant has obtained the required immunizations, if any.  I understand and agree that TU is not obligated to attend to any of Participant’s medical or medication needs, and I assume all risk and responsibility.  I agree to pay all expenses relating thereto. 

TU RULES, REGULATIONS AND POLICIES: Participant agrees to obey and comply at all times with all of the rules, regulations, codes and policies of TU while participating in the Program.  Participant agrees to notify his/her professor immediately of any injury or loss. 

TRAVEL CHANGES: If, as a result of Participant’s own actions, Participant becomes separated from the Program group, fails to meet a departure airplane, bus, or train, Participant will, to a reasonable extent, and at his/her own expense seek out, contact, and reach the Program group at its next available destination. 

Governing Law; Entire Agreement  I agree that this Agreement shall be construed in accordance with the laws of the State of Texas, which shall be the forum for any dispute concerning liability arising from Participant’s participation in the Program.  This Agreement represents my complete understanding with TU concerning TU’s responsibility and liability for participation in the Program.  This Agreement supersedes any previous or contemporaneous understandings I may have had with TU on this subject, whether written or oral.

SIGNATURE: I indicate that by my signature below that I have read the terms and conditions of participation and agree I/my minor child shall abide by them.  I have carefully read this Informed Consent and Assumption of Risk Form and acknowledge that I understand it.  My signature below indicates that I have read and freely signed this agreement, which take effect as a sealed instrument.

 Date_________________________        __________________________________                                                                        (Signature)

 ______________________________________ 

(Printed Name of Participant)

Signature of Parent/Guardian for Participants Who Are Minors:
I certify that I have custody of Participant or am the legal guardian of Participant by court order. I HAVE READ THIS AGREEMENT AND FULLY UNDERSTAND AND AGREE TO ITS TERMS.  I AM AWARE THAT THIS AGREEMENT INCLUDES A RELEASE AND WAIVER OF LIABILITY AND AN ASSUMPTION OF RISK.

 

Date:  _______________________            ______________________________________                                                               (Signature of Parent or Guardian)                                                                                                                                                                                                                                     _______________________________________

(Printed Name of Parent or Guardian)

Received by:

Date: _______________________           ______________________________________                                                                   (Signature)                                                                               

_______________________________________

(Printed Name of Institution Official)

Revised: 6/29/2009

 

BY SIGNING THIS DOCUMENT, YOU ARE WAIVING CERTAIN LEGAL RIGHTS.

PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING.

 

TRINITY UNIVERSITY

  STUDENT/PARTICIPANT RELEASE AND INDEMNITY AGREEMENT

 

Printed Name of Student/Participant:________________________________________

Course/Activity:________________________ Course Number (if applicable):________

Instructor/Sponsor:______________________ Destination (if travel required):________

Semester/Dates of Participation:___________________________________________

For and in consideration of being permitted to participate in the Course/Activity above (including related travel, if any), I, THE UNDERSIGNED, HEREBY FULLY RELEASE AND FOREVER DISCHARGE Trinity University and all instructors, sponsors, agents, employees, officers, trustees and affiliates of Trinity University (collectively “TU”), of and from any and all liability to me, my personal representatives, assigns, heirs and next of kin, for any damage to or loss of my property, any injury to my person or my death or any one or more of the foregoing, arising directly or indirectly out of my participation for any purpose in the Course/Activity, INCLUDING ANY SUCH DAMAGE, LOSS OR INJURY THAT IS CAUSED BY ANY ACT OR OMISSION ON THE PART OF TU, INCLUDING ANY NEGLIGENT CONDUCT OF TU but excluding any gross negligence or willful misconduct of TU. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE BY ME OF TU FROM THE CONSEQUENCES OF TU's OWN NEGLIGENCE. THE ONLY CIRCUMSTANCE UNDER WHICH MY RELEASE OF TU DOES NOT APPLY IS WITH RESPECT TO ANY OCCURRENCE RESULTING FROM THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF TU.  I FURTHER AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS TU for, from, and against any and all liabilities, damages, claims, lawsuits, costs (including court costs, attorneys fees and costs of investigation), and actions of any kind or description for any damage to or loss of my property or the property of another, any injury to me or my death, or the injury to or death of any other person or any one or more of the foregoing, arising out of my participation for any purpose in the Course/Activity, INCLUDING ANY DAMAGE, LOSS OR INJURY CAUSED BY ANY ACT OR OMISSION ON THE PART OF TU, INCLUDING ANY NEGLIGENT CONDUCT OF TU but excluding any gross negligence or willful misconduct of TU.  IT IS MY EXPRESS INTENT THAT THE ABOVE INDEMNITY INCLUDES INDEMNIFICATION BY ME OF TU FROM THE CONSEQUENCES OF TU's OWN NEGLIGENCE.  THE ONLY CIRCUMSTANCE UNDER

WHICH MY OBLIGATION TO INDEMNIFY TU DOES NOT APPLY IS WITH RESPECT TO AN OCCURRENCE RESULTING FROM THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF TU.  By execution below I hereby acknowledge that I recognize and assume all of the risks associated with the Course/Activity. I ACKNOWLEDGE THAT IT IS IMPORTANT THAT I VERIFY THAT I HAVE INSURANCE COVERAGE WHICH EXTENDS TO ME WHILE PARTICIPATING IN THE COURSE/ACTIVITY, AND THAT I SECURE SUCH COVERAGE IF I DO NOT ALREADY HAVE IT.  I understand that TU does not provide such coverage, and that no insurance coverage may exist through TU to cover any injuries or damages which I may sustain or claims which may arise as a result of my participation in the Course/Activity.

The terms of this Release and Indemnity Agreement are to be governed by and construed under the laws of the State of Texas, and venue with respect to any dispute arising between TU and any other party that involves this Release and Indemnity Agreement or my participation in the Course/Activity shall be exclusively in Bexar County, Texas.  Each provision of this Release and Indemnity Agreement is severable and if one portion is invalid or illegal, such invalid or illegal portion shall not apply, but the remaining portions shall nevertheless remain in full force and effect. I understand that the terms of the Release and Indemnity Agreement are contractual and not mere recitals, and that such terms are binding upon me, my heirs, personal representatives and assigns.  In making this Release and Indemnity Agreement, I have not relied upon any statement or representation pertaining to this matter made by TU or any other person or entity which is hereby released.  I WARRANT THAT I HAVE CAREFULLY READ THIS DOCUMENT AND KNOW ITS CONTENTS, AND THAT I AM 18 YEARS OF AGE OR OLDER AND HAVE FULL AUTHORITY TO EXECUTE THIS DOCUMENT AND THAT I HAVE EXECUTED THIS DOCUMENT VOLUNTARILY AND AS MY OWN FREE ACT. I EXECUTE THIS DOCUMENT FULLY INTENDING TO BE BOUND BY ITS TERMS.

Dated this _______ day of ___________________, 2_____.

 ____________________________________________

Signature of Student/Participant

If the Student/Participant is not eighteen (18) years of age or older, the signature of Student/Participant's parent or legal guardian is required.

As parent or legal guardian of the above-mentioned Student/Participant, I agree to and approve the terms of this Release and Indemnity Agreement and consent to the Student/Participant's participation in the Course/Activity and warrant that I have full authority to do so on behalf of myself, the Student/Participant and the Student/Participant's heirs, personal representatives and assigns. I understand and assume the risks of the Student/Participant's participation in the Course/Activity.

I, THE UNDERSIGNED, HEREBY FULLY RELEASE AND FOREVER DISCHARGE Trinity University and all instructors, sponsors, agents, employees, officers, trustees and affiliates of Trinity University (collectively "TU"), of and from any and all liability to me, my personal representatives, assigns, heirs and next of kin, from any and all claims, demands, controversies, actions or causes of action, belonging to me or Student/Participant now or in the future for any damage to or loss of Student/Participant's property, and any injury to Student/Participant's person or Student/Participant's death or any one or more of the foregoing, arising directly or indirectly out of Student/Participant's participation for any purpose in the Course/Activity, INCLUDING ANY DAMAGE, LOSS OR INJURY CAUSED BY ANY ACT OR OMISSION ON THE PART OF TU, INCLUDING ANY NEGLIGENT CONDUCT OF TU but excluding any gross negligence or willful misconduct of TU. IT IS MY EXPRESS INTENT THAT THE ABOVE RELEASE INCLUDES THE RELEASE BY ME OF TU FROM THE CONSEQUENCES OF TU's OWN NEGLIGENCE. THE ONLY CIRCUMSTANCE UNDER WHICH MY RELEASE OF TU DOES NOT APPLY IS WITH RESPECT TO ANY OCCURRENCE RESULTING FROM THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF TU. 


I FURTHER AGREE TO INDEMNIFY, DEFEND, AND HOLD HARMLESS
TU for, from and against any and all liabilities, damages, claims, lawsuits, costs (including court costs, attorneys fees and costs of investigation), and actions of any kind or description for any damage to or loss of Student/Participant's property or the property of another, any injury to Student/Participant or any other person, any injury resulting in Student/Participant's death or the death of another or any one or more of the foregoing, arising out of Student/Participant's participation for any purpose in the Course/Activity, INCLUDING ANY DAMAGE, LOSS OR INJURY CAUSED BY ANY ACT OR OMISSION ON THE PART OF TU, INCLUDING ANY NEGLIGENT CONDUCT OF TU but excluding any gross negligence or willful misconduct of TU. IT IS MY EXPRESS INTENT THAT THE ABOVE INDEMNITY INCLUDES INDEMNIFICATION BY ME OF TU FROM THE CONSEQUENCES OF TU's OWN NEGLIGENCE. THE ONLY CIRCUMSTANCE UNDER WHICH MY OBLIGATION TO INDEMNIFY TU DOES NOT APPLY IS WITH RESPECT TO AN OCCURRENCE RESULTING FROM THE GROSS NEGLIGENCE OR WILLFUL MISCONDUCT OF TU.

Dated this _________ day of ____________________, 2____.

_________________________________________________

Signature of Parent or Legal Guardian

_________________________________________________

Printed Name of Parent or Legal Guardian

 

Revised 8/13/04 

Where to get the forms:

Request in person at: NH/410
Request by interoffice mail to: Finance & Administration
Request by phone at:  (210) 999-7306

OR:

Click here to open and print the form "Informed Consent  and Assumption of Risk Agreement"
        (Use with credit course field trips, internships and practica) 

 Click here to open and print the form "Student/Participant Release and Indemnity Agreement",   with participant under 18 years of age attachment for parent or guardian.                                   
(Use for student participation in those activities that are voluntary or do not involve for-credit course)

Adobe Acrobat Reader is needed to open and print the form.

If you do not have this free software, you can download it.

Click here to download Adobe Acrobat Reader

Where to submit the forms:

This form should be kept in the files of the respective department, or may be submitted to the Office of Finance & Administration.

Submit in person at: NH/410
Submit by interoffice mail to: Finance & Administration
Submit by fax to: (210) 999-7062


Table of Contents Index Trinity Home Page

 

GENERAL INFORMATION
BUSINESS OFFICE:
          ACCOUNTING AND REPORTING
          ACCOUNTS PAYABLE AND EXPENSE REIMBURSEMENT
          CASHIER'S OPERATIONS
          PAYROLL
          SPONSORED PROJECTS (GRANTS)
          STUDENT ACCOUNTS AND STUDENT LOANS
CAMPUS SECURITY
FACILITIES MAINTENANCE
HUMAN RESOURCES
PURCHASING
RISK MANAGEMENT

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For further information, please call (210) 999-7306, or write to:

Trinity University
Office of Finance & Administration
One Trinity Place
San Antonio, TX   78212-7200

This page is provided to you for informational purposes.   Trinity University does not assume liability for omissions, typographical errors, or policy changes that are not updated immediately on this or other official university web pages.

This page was last modified on June 25, 2012.