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Auto Liability Release Forms

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					                                                                             A.S./SDSU Sports Club
                               INDEPENDENT TRAVEL ITINERARY FORM
                                           To Send Form Electronically, Save to Desk Top or File Folder and Attach To An E-Mail
                                                                   Please Type The Information Below



I acknowledge that I have read and signed an A.S./SDSU CAMPUS RECREATION ASSUMPTION OF RISK, WAIVER, AND RELEASE FROM LIABILITY
Form (“General Release”). I understand the General Release I signed applies to travel to and from Sports Club Team events. I understand that I am not covered
by any insurance carried by San Diego State University or by the Associated Students while I am travelling independently to and from Sports Club events.

                            ROUND TRIP TRAVEL                                                                          ONE-WAY TRAVEL


GENERAL TRAVEL INFORMATION                                                                                                                 Date of Request:
                                                                                      Phone
Athlete Name:                                                                                                                              E-Mail:
                                                                                    Number:

Sports Club Team:                                                                Destination                                              Purpose:
                                                                             (City & State):

Depature Date:                                                              Departure Time:

Return Date:                                                                  Return Time:

                                                                                      Phone
Emergency Contact:                                                                                                                         E-Mail:
                                                                                    Number:


                                                 Fill In Multiple Lodging Locations if Applicable and/or Submit A Separate Travel Itinerary Form For Each Location
LODGING INFORMATION
Name of Hotel or
Residence:
Location #1                                                           Arrival                                 Departure
                                                                                                                                                           Phone Number:
(City & State):                                                        Date:                                      Date:
Location #2                                                           Arrival                                 Departure
                                                                                                                                                           Phone Number:
(City & State):                                                        Date:                                      Date:
Location #3                                                           Arrival                                 Departure
                                                                                                                                                           Phone Number:
(City & State):                                                        Date:                                      Date:



TRANSPORTATION INFORMATION                                                                         Fill In Transportation Information For Traveling Member

                                                                                      Mark All That Apply Below

                               Personal/Rental Vehicle                                                                             Airline Service

                                     Fill In Transportation Information, Attach Flight Itineraries, and Submit Separate Form For Multiple Trips
Name of Airline                                                       Phone                                                  Departure                               Return
Service:                                                            Number:                                                      Date:                                Date:
                                                                                                                             Departing                              Return
                                                                                                                              Flight #:                            Flight #:




               Athlete Signature                                                                                             Parent/Guardian Signature (if athlete is
                                                                                                                                           under 18)


  Team President or Coach Signature                                                                                                                   Date




                                                                                          OFFICE USE ONLY
          ARC Eligibility                                      Driver's License                             Auto Insurance
   Emergency Contact                                     Flight Itinerary                                      DMV Pull                                      Opponent Contact


       Travel Approved:                                                       Travel Denied/Missing Info:                                        Travel Denied:


          Printed Name                                                            Signature                                                                             Date
                              Sports Club Staff Member                                                         Sports Club Staff Member
                                                                 A.S./SDSU Sport Clubs
                                                             TRAVEL ITINERARY FORM



                 Indicate Correct Passenger With Driver(s)                               Indicate Accurate Hotel Room Assignment(s) or Resident Lodging

Driver's Name:                                                                            Lodging

      Passneger                                                                            Guest


      Passneger                                                                            Guest


      Passneger                                                                            Guest

      Passneger                                                                            Guest

      Passneger                                                                            Guest

				
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