In the event of illness or injury, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, transportation and hospital care considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.
As a condition of my participation in this activity, I agree to waive all claims against Rancho Santiago Community College District (RSCCD) and to indemnify and hold RSCCD, its officers, agents, and employees, harmless from any and all liability or claims, demands, losses, causes of action, suits or judgments of any kind whatsoever that I, my heirs, executors, administrators or assignees may have against the District or that any other person or entity may have against the District because of my death, bodily injury, personal injury, or illness, or because of any loss to property that may arise out of or in any way be connected with the above-described excursion/filed trip. This waiver shall not apply to any occurrences, which may arise solely out of the negligence of the district, its employees or agents.
I further acknowledge that the district does not provide any type of insurance including liability, collision, comprehensive or medical coverage for students who provide their own transportation or provide transportation to other individuals in connection with an excursion/fieldtrip activity. I will abide by all rules and regulations governing conduct during this activity. I further acknowledge any violation of these rules may result in my dismissal from the activity at my expense, including forfeiture of activity fees, transportation from activity to my home, etc.