Student Trip Registration Form - Georgia
STUDENT TRIP REGISTRATION FORM
Please complete every line, using NA where not applicable. Be sure to complete all pages and sign where indicated.
KSU # : Date of Birth:
Trip Date (s):
Trip semester: Fall Spring Summer
Student MUST be registered during semester of travel.
Name, Address and phone number of person to be contacted in case of emergency:
Have you signed the Waiver of Liability and Covenant Not to Sue? Yes No
Have you signed the Alcohol Policy Form? Yes No
List any allergies that you have (including food or drug allergies):
List any medications you are currently taking:
I agree that as a participant in this school sponsored trip, I will be responsible for my own actions at all times.
Student Trip Registration Form 06-07
Student Trip Registration Form - Georgia PDF
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