Get Student - Mt. San Antonio College - Mtsac

This guide provides comprehensive instructions on how to accurately complete the Student Agreement and Medical Release for classroom-related travel associated with Mt. San Antonio College. Following these steps will ensure that all necessary information is filled out correctly and submitted efficiently.

Follow the steps to complete the Student Agreement and Medical Release form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your editor.
2. Fill in the student name section by entering the last name followed by the first name. Ensure you also input the Student ID number in the corresponding field.
3. Provide your address details including street address, city, zip code, home phone, and cell phone. Make sure to enter the email address in the designated section.
4. Indicate the class name and class reference number. Also, fill in the faculty/staff/advisor’s name along with their telephone number.
5. Choose the semester/session from the options provided: Fall, Winter, Spring, or Summer, and enter the appropriate year.
6. Input the travel destination(s) and corresponding date(s) along with a general description of the activities planned.
7. Carefully read the waiver statement regarding claims against the District or the State of California, and proceed to the medical authorization section. Input the private medical insurance carrier name and policy number.
8. If applicable, check the box to indicate any special needs or medical conditions and attach a description.
9. Enter the emergency contact information, including their name, phone number, relationship, and cell phone number.
10. Select whether you will be using transportation provided by Mt. San Antonio College or personal transportation. Understand and acknowledge the liability provisions regarding personal transport.
11. Sign and date the form. If you are under 18, a parent or guardian must also sign and print their name.
12. Review all entered information for accuracy, and when satisfied, save your changes, download, print, or share the form as needed.

Complete your document online today to ensure a smooth travel experience.