FIELD TRIP PERMISSION, WAIVER, RELEASE AND INDEMNITY AGREEMENT

IN CONSIDERATION of the student named below (the “Student” the Minor) being permitted to participate in any way in the field trip activity (the “activity”) or (the “Field Trip”), on site (see the School/Facility/Location/Organization form field) the undersigned, parent(s) or legal guardian(s) of the student hereby agrees to the following terms and conditions set forth below:

 

  1. PARTICIPATION: I/We give permission for the Student to participate in the Intergalactic Adventures (IA), LLC, hence force referred to as IA, Field Trip with the understanding that the Student is not mandated to attend this field trip. I/We understand and acknowledge that certain risks are inherent in this type of activity and I/we assume liability and responsibility for any such risks associated with the participation in the activity.
  2. ACKNOWLEDGEMENT: I/We acknowledge, agree and represent that I understand the nature of IA, Activities and believe that the Student is qualified, in good health and in proper physical condition to participate in such activity.
  3. EXPECTATION: I/We understand and acknowledge that the Student is expected to abide by all School/Facility/Location/Organization regulations during the course of the Activity. I/We agree to direct the Student to cooperate with the directions and instructions of the supervisory personnel in charge of the Field Trip. IA, defers to the Medical Release process of the School/Facility/Location/Organization for medical care release and operation.
  4. HOLD HARMLESS: I/We acknowledge that, as a condition of the Student’s participation in this activity, I/We hold harmless and waive any and all claims against IA, its employees, agents, officers, and volunteers, including, but not limited to, claims arising out of any ordinary negligence of any officer, employee, agent, student or volunteer of IA, or any loss or damage to personal property occurring during or by reason of the Student participating in this activity.
  5. RELEASE FROM THIRD-PARTY LIABILITY: I/We understand that IA, is not an agent of, and has no responsibility for, any third party including without limitation any sponsor or program or school that may provide any services, equipment, location, training or activities associated with the above mentioned activity.
  6. INDEMNIFICATION: As a condition of the Student’s participation in this Field Trip, I/We indemnify IA, for all claims resulting from the Student’s participation in the activity including but not limited to any injury, accident, illness, or any loss to self or of self, or any loss or damage to personal property.
  7. FULL UNDERSTANDING: I /We fully understand that Activities INVOLVE RISKS AND DANGERS not limited to bodily injury; these Risks and dangers may be caused by my Student’s own actions or inactions, the actions or inaction’s of others participating in the Activity, the condition in which the Activity takes place, or the negligence of the “Releasees” named below; there may be other risks and social and economic losses either not known to me or not readily foreseeable at this time and I fully accept and assume all such risks and all responsibility for costs and damages I incur as a result of my student’s, participation in the Activity.
  8. VOLUNTARY AGREEMENT: The Student and the parent(s)/guardian(s) acknowledge that they have read the “Permission, Waiver, Release and Indemnity Agreement” and are aware of the legal consequences of signing this binding document. My Signature below indicates that I have read and freely signed this agreement.  I further certify that I am legally competent to sign this agreement.
My signature below authorizes Student to participate in the Field Trip: