CCSC and ESC Travel/Retreat Waiver
Please fill out this form completely in order to participate in the Student Councils' Retreat on Friday, September 28 and Saturday, September 29th to Frost Valley YMCA in Claryville, New York.
Confidentiality Notice: A digital copy of this form will be taken with the SDA advisors. Please note that this form contains confidential information and will be handled accordingly. The information contained in this form will be only used for emergencies only.
Waiver: As a condition of participation in this trip described above, I agree and acknowledge that my participation in t his trip is voluntary and that neither The Trustees of Columbia University in the City of New York (the "University"), nor any of its agents or employees, shall have responsibility for any loss, injury, or damage incurred or suffered by me in connection with my participation in this trip (including, but not limited to, any personal injury, death, or property damage), and hereby expressly waive all rights, claims, causes of action, and the like of any nature whatsoever which I or my heirs or legal representatives may have against the university or any of its agents or employees in connection with my participation in such a trip.
By completing the form below and submitting, you agree to the above stated terms.