Field Trip Sign Up Sheet

Field Trip Sign-Up Sheet - rev. 4/04 Risk Management, UC Santa Barbara

http://www.riskmanagement.ucsb.edu

INSTRUCTIONS

Use the Field T rip Sign-Up Sheet as a participant roster . If the field trip is not a requirement of a course required for the completion of the participant’s degree,

then it is an elective/voluntary activity and the

UC W aiver or Liability - Elective/Voluntary Activities must be signed by the participant. If the field trip is required

for a degree and supervised by academic personnel, use the

UC Waiver of Liability - Required Activities. (See Quick Tips: The UC Waiver of Liability and Quick

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Print Name: _____________________________________ Signature: ______________________________________ Ph: ____________

Date of Field T rip: ________________ Department: __________________________________________ Campus: SANTA BARBARA

Class Name & No: ________________________________________________ Field T rip Location: _________________________________

PARTICIP ANTS

DEP ARTMENT