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

//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/V oluntary 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

Tips: What Activities Require the Use of the UC W aiver?)

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:_________________________________

PARTICIPANTS

DEPARTMENT