HOKIE POKIE BUS WAIVER AND RELEASE OF LIABILITY THIS FORM MUST BE IN THE POSSESSION OF BUS COORDINATOR BEFORE PARTICIPATION IN ANY TRAVEL I, _____________________________, agree to indemnify and hold harmless Hokie Pokie bus line and Capitol Compass LLC, and all associated event/promotional partners from any claim that I might have at any time arising out of or relating to my participation, transportation, or involvement with services provided. I understand that I am fully responsible for complying with all rules and regulations of the event and event venue and that Hokie Pokie bus line and Capitol Compass LLC and its promotional partners reserve the right to cancel my participation in this event should I fail to observe such rules or to behave in an appropriate manner to include but not be limited to excessive alcohol consumption. I understand that Hokie Pokie bus line and Capitol Compass LLC and any event/promotional partners are not responsible for any injuries to persons or damage to property or broken equipment sustained during this event. Participants will be held personally liable for any damages incurred by them. The service provider is not responsible for lost or stolen personal items left on the vehicle either during or after the rental period. If applicable, anyone that fails to re-board the bus at stated departure time may be left behind and is responsible for all financial costs in doing so. In the event that any part of this agreement is declared unenforceable, the remaining provisions shall remain in full force and effect. I declare that I am over 21 years of age and I sign with full agreement and understanding of the terms and conditions. Signature: _____________________________ ______________ Date Please Print Name: _________________________________________________ Email address: _____________________________________________________ Cell Phone Number: ___________________ EMERGENCY CONTACT Phone________________ Name_____________________