Get Field Trip/excursion Waiver And Medical ... - Peralta Colleges - Web Peralta

Filling out the Field Trip/Excursion Waiver and Medical Authorization Form is a straightforward process. This guide provides a clear, step-by-step approach to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Press the ‘Get Form’ button to access the form in your editor.
2. Fill in the description of the activity, including the course name and number. This information helps to clarify what the field trip or excursion entails.
3. Specify the department responsible for organizing the field trip. This creates a clear connection to the institutional support for the excursion.
4. Enter the destination of the trip. Clearly detail this location to ensure every participant knows where they will be going.
5. Input the start date and time for the field trip. This is crucial for scheduling purposes and participant preparation.
6. Indicate the instructor's name who will be leading the trip. This provides a point of contact for participants.
7. Specify the return date and time. This information helps in planning and ensures all parties are informed of when to expect participants back.
8. Read the waiver clause and consent statement regarding potential risks. Ensure you understand that signing this form waives claims against the college or state.
9. In the event of illness or injury, consent to medical treatment by providing an emergency medical authorization to ensure safety during the trip.
10. Agree to abide by the rules and regulations governing conduct during the trip, noting any potential consequences of violations.
11. Provide your printed name, signature, and date affirming your understanding and agreement to the terms.
12. If the participant is under 18, include the name and signature of a parent or guardian.
13. Fill in your address, medical insurance carrier, phone number, policy number, and subscriber ID number for emergency situations.
14. Identify an emergency contact person by providing their name, address, and phone number.
15. Indicate whether there are any conditions that might limit participation. If applicable, provide medical clearance information.
16. Once all sections are completed, save changes, download, print, or share the form as required.

Complete your documentation online today for a smooth experience during the field trip or excursion.