GEOLOGICAL SOCIETY OF MINNESOTA

WAIVER OF LIABILITY FOR FIELD TRIP

SPONSORED BY THE GEOLOGICAL SOCIETY OF MINNESOTA

I understand that participation in the Geological Society of Minnesota Field Trip to

__________________________________ is voluntary. Therefore, any loss or injury suffered by me or to my property because of my participation in any activity or use of equipment or facilities during this field trip, whether sponsored or unsponsored, formal or informal, or shared or alone, is my sole responsibility.  The Geological Society of Minnesota, its Board of Directors, the field trip leader(s), and the field trip coordinator(s) will not be held liable for any such loss or damage to my person or property.

___________________________________________________________________

I have read the above agreement, understand and accept its terms and consequences,

and freely, voluntarily, and knowingly sign this waiver.

PRINT Name of participant:__________________________________________

Today's Date: _______________

SIGNATURE of participant

(or parent or guardian):____________________________________________

(A parent or guardian MUST SIGN for a participant who has not attained the age of legal majority.)

Optional:   Name and Phone of Contact Person____________________________________

Form\waiver\GSM‑6\00