Attachment III
Student Trip Release and
Indemnity Agreement
Students’
Name:_____________________________________________________________
Sponsoring
Student Organization or Department:___________________________________
Academic
Year:_____________________________________________________________
I plan to engage in
university-sanctioned travel activities during the academic year indicated
above in association with the above listed organization. I am traveling
entirely upon my own initiative, risk, and responsibility.
In consideration for the
permission given to me by Texas State University-San Marcos to take this trip
and in further consideration for Texas State University-San Marcos and the
organization named above facilitating this trip, I (for myself, my heirs,
executors, and administrators) release, discharge, and agree to indemnify Texas
State University-San Marcos, the organization’s advisors and all of the
university’s agents and employees who have facilitated this trip, acting
officially or otherwise, from any claims on account of any injury to me or for
damages to my property that occur from any cause in connection with this trip.
I intend that the indemnity provided for in this agreement is indemnity by me
above to indemnify Texas State University-San Marcos and its agents and
employees from the consequences of their negligence, whether that negligence is
the sole or concurring cause of the death, injury or damage.
Dated this the
____________day of _______________, 20__________.
__________________________________________________________
Student
Signature
__________________________________________________________
Parent
or Guardian’s Signature, if student is under 18