Air Travel Form

I, am a student at California State University, Northridge, one of the campuses of the California State University (CSU).

I am/will be participating in a CSU-affiliated program which requires air travel. (I understand that a CSU-affiliated program includes any program offered by, or pursuant to a program of, the California State University, any campus of the California State University, any student body organization, or any organization affiliated with any such organization or with any combination thereof). My participation in this program is voluntary.

I have been informed, and acknowledge that:

1.	Air travel involves risks which can result in damage to property, injury to persons, and death; and
2.	The CSU assumes no liability for damage, injury, or death occurring on such travel.

With this knowledge and information, I agree to participate in the program, and the air travel, at my own risk.

I release and hold harmless the State of California; the California State University; the campus affiliated with the program requiring air travel, and each and every officer, employee and agent of them, from any and all claims and causes of action that I may have against any of these institutions or persons, by reason of any accident, illness, injury, death, or other consequences resulting directly or indirectly from or in any manner arising out of, or in connection with, my being a passenger on an airplane pursuant to my participation in the CSU-affiliated program.

This release and hold harmless shall also be binding on my heirs, assigns, successors, and all other persons who may claim through me.

*Participant Signature:_______________________________*	Date: ______________

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