APPENDIX B

Example Form Student Waiver

Student Off-Campus Acknowledgment and Assumption of Risk, Release from Liability, and Hold Harmless Agreement

 

________________________________________

Student identification number

I, _______________________, am a student at [name of the university].

(Student’s full name)

I have voluntarily elected, instead of taking advantage of in-class resources and time, to pursue certain off-campus activities (the activities) to gather academic or educational information that I intend to incorporate into my coursework at the university in the following course: Course Number/Name/Professor:

_______________________________________________.

I recognize that the activities are not a requirement of the course, nor any ...

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