%PDF-1.3 %âãÏÓ 1 0 obj << /Length 2361 >> stream /GS0 gs 1 g 0 792 0 0 re f /GS2 gs q BT /F0 1 Tf 12 0 0 12 36 722.7939 Tm 0 0 0 1 k 0.001 Tc 0.025 Tw [(University of )19(V)92(ermont)]TJ 0 -2.4 TD 0.006 Tw [(A)-1(L)93(TERNA)75(TIVE TRANSPOR)36(T)74(A)74(TION W)110(AIVER)]TJ ET BT /F1 1 Tf 12 0 0 12 36 665.1941 Tm -0.0001 Tc 0.025 Tw (\(Note: this form is used when academic dept. has made travel arrangements for a field trip, and is)Tj 0 -1.2 TD (sponsoring the field trip, but students make their own travel arrangements.\))Tj 0 -3.6 TD 0 Tc [(It is the understanding of the University of )18(V)111(ermont that you have elected to make alternative)]TJ 0 -1.2 TD -0.0001 Tc (transportation arrangements and will not participate in travel arrangements made by ¶¶Òõ̽̽ as part)Tj 0 Tc (of the course/field trip entitled " ________________________________________________" on)' (______________(date).)' 0.275 -2.4 TD -0.0001 Tc (It is, therefore, understood that you accept full responsibility for travel arrangements and the)Tj -0.275 -1.2 TD 0 Tc [(associated costs. Further)40(, the University of )17(V)111(ermont is not responsible for any bodily injury or)]TJ -0.0001 Tc (property damage which may arise out of these alternative arrangements. )' 0 -2.4 TD 0 Tc [(Please af)18(firm your understanding by reading and signing the statement below: )]TJ -0.0001 Tc (I understand that transportation arrangements to and from)' 0 -1.2 TD (__________________________________ are available to me and I have elected to decline these)Tj T* 0 Tc (arrangements. I accept full responsibility for making my own arrangements. I will defend, indem-)Tj T* [(nify)65(, and hold the University of )18(V)110(ermont, its trustees, agents or employees harmless from any)]TJ T* [(bodily injury)65(, property damage, or other incident which may arise out of my alternative travel)]TJ -0.0001 Tc (arrangements or any personal time or activities that occur outside of the authorized activities)' (scheduled as part of this ¶¶Òõ̽̽ field trip. )' 0 -2.4 TD 0 Tc (Name (please print) ____________________________________)Tj (Date ____________________ )' 0 -3.6 TD (Signature ____________________________________________ )Tj -0.0001 Tc (Signature of Parent or Guardian (if participant is under 18 year of age))' 0 -2.4 TD 0 Tc (__________________________________ Date_________________ )Tj 0 -7.2449 TD -0.0001 Tc (¶¶Òõ̽̽ Risk Mgmt 9/00 )Tj ET Q endstream endobj 2 0 obj << /SA false /OPM 1 /Type/ExtGState /OP false >> endobj 3 0 obj << /SA false /OPM 1 /Type/ExtGState /OP true >> endobj 4 0 obj << /Nums[0<>] >> endobj 5 0 obj << /Encoding/MacRomanEncoding /Name/F0 /Type/Font /BaseFont/Times-Bold /Subtype/Type1 >> endobj 6 0 obj << /Encoding/MacRomanEncoding /Name/F1 /Type/Font /BaseFont/Times-Roman /Subtype/Type1 >> endobj 7 0 obj << /Count 1 /Type/Pages /Kids[8 0 R] >> endobj 8 0 obj << /Resources<>/ProcSet[/PDF/Text]/ExtGState<>>> /Contents 1 0 R /Type/Page /MediaBox[0 0 612 792] /Parent 7 0 R >> endobj 9 0 obj << /Pages 7 0 R /PageLabels 4 0 R /Type/Catalog >> endobj 10 0 obj << /XPressPrivate(%%DocumentProcessColors: Black\n%%EndComments) /CreationDate(20041115113217) /Creator(QuarkXPress(tm) 6.0) /Producer(QuarkXPress(tm) 6.0) >> endobj xref 0 11 0000000000 65535 f 0000000015 00000 n 0000002427 00000 n 0000002491 00000 n 0000002554 00000 n 0000002593 00000 n 0000002697 00000 n 0000002802 00000 n 0000002857 00000 n 0000003037 00000 n 0000003103 00000 n trailer << /Size 11 /Root 9 0 R /Info 10 0 R /ID[<490F385CF1A3FCE5B90822173DCDF84F><490F385CF1A3FCE5B90822173DCDF84F>] >> startxref 3278 %%EOF