THE STATE OF TEXAS
TEXAS WOMAN'S UNIVERSITY
COUNTY OF DENTON
2014-2015 ACADEMIC YEAR
DISCLAIMER OF LIABILITY & STUDENT AGREEMENT
WHEREAS the undersigned voluntarily desires to participate in this activity; the UNDERSIGNED
acknowledges that Texas Woman's University has limited sponsorship of this trip; that TWU's only
interest in this activity is to make the trip available. TWU expressly disclaims any liability for
personal injury or property damage or loss arising out of the act, omission, or negligence of the
undersigned;
WHEREAS the undersigned is duly aware of the risks and hazards which may arise through
participation in such activity and that participation in such activity may result in loss of property
and/or life and/or limb of the undersigned:
WHEREAS the undersigned is duly aware of the risks of staying in a facility not affiliated with the
university and that risks may include fire hazards;
THEREFORE, it is agreed as follows:
THAT in consideration of the undersigned's participation in such activity, the undersigned hereby
voluntarily assumes all risks of accident or personal injury, including injuries unknown and
unanticipated, or death, to his/her person or property and hereby releases and forever discharges
the Texas Woman's University, its Board of Regents, officers, agents, employees from any and all
liability arising from or connected with the undersigned's participation in such activity.
THAT the undersigned assumes full responsibility for her/his actions and those actions of her/his
guest(s) and in the event of damage or disciplinary problems, will be responsible for compensation
of damages to TWU and subject to disciplinary action by the TWU Vice President for Student Life
or his/her designee.
THAT if the undersigned drives him/herself to and/or from said event, it is his/her personal choice.
By making this decision, she/he assumes full responsibility and agrees to participate fully in the
said event.
THAT the undersigned will educate him/herself about fire exits if an event is held at an off-campus
facility.
THE UNDERSIGNED, by signing this release, hereby certifies that he/she has read and fully
understands the conditions herein provided.
_____________________________________
Print Name
_____________________________________
Signature
___________________
Date
Refund Policy: Full refunds will be given if: the trip is canceled due to lack of participation or
weather, or if 72 hour notice is given to the Center for Student Development prior to the trip's
departure. In those cases of trips requiring pre-trip meetings, refunds will be given if notice is given
72 hours prior to meeting time. All trips will depart from the Student Union unless otherwise stated.
Participants are to meet in front of the Student Union at the time designated. Any questions
concerning trips' policies or procedures are to be directed to the Director of the Center for Student
Development.
TRIP: ___________________ DATE:______________
TIME:_______
TRANS.COST____________
ADDITIONAL COST(S),IF ANY_____________
APPROXIMATE RETURN TIME:_______
OTHER INFORMATION:_________________________________________________________