Harrisburg Area Community College s2

Harrisburg Area Community College Student Government Association

Bus Trip Enrollment & Waiver Form

Event: New York City Bus Trip, the bus will depart from the HACC’s Harrisburg West parking lot promptly at 7:30 a.m., and will expect to arrive back to this parking lot at 11:30 p.m. Trip participants will be dropped off and picked up at the following location: Macy’s Herald Square 151 W. 34th St. New York City, NY Dates: April 30, 2011 Time: 7:15 AM Arrival, 7:30 AM Departure Cost: HACC Students $15, Guests $30 Contact: Jazmin Byers, Student Affairs Coordinator, Virtual Campus, [email protected] (separate here) ------STUDENT PAYMENT SLIP/ENROLLMENT FORM

1. This slip must be presented to the cashier with your payment to be enrolled in the trip. 2. Students must present student identification card to pay student price. 3. All trip participants must complete and sign the form below.

Destination: ______Date: ______

Name: ______HACC Student ___ Guest ___

HACC Student ID number (If applicable) H______

Phone (______) ______HAWKMAIL or Email Address ______

I, ______will participate in a trip to ______(name) (location) on ______. (date)

I understand that transportation will leave from designated locations at times. I understand that I am responsible for following the College’s code of conduct policies, and I understand and agree that Harrisburg Area Community College and/or its representatives assume no liability in the event of accident or illness, nor for damage or injury to person or property of any nature whatsoever from the time I depart from the campus until the time I return.

I, the undersigned, have read and understand the above conditions and do hereby agree to assume all risks and responsibilities surrounding my participation in this off campus-activity.

Signature______Date______

Emergency Contact______Contact Phone (during trip) (______) ______Harrisburg Area Community College Student Government Association

Bus Trip Enrollment & Waiver Form POLICY 074 STATEMENT OF PRACTICES CONSTITUTING UNACCEPTABLE CONDUCT

The following list constitutes practices and conduct which are unacceptable for any member of the College community, students, faculty, administration, visitors and guests.

1. Physical obstruction or interference with: a. College classes or activities or approved activities of External Entities b. Any person participating in such activities c. Any person going to or from such activities

2. Permanently posting materials on any walls, windows, doors, sidewalks, trees, light poles, etc., or any other College equipment (except in designated posting areas) or writing graffiti.

3. Violating College harassment policy. (College Policy 871, Harassment)

4. Physical abuse of or detention of any person on College-owned property, or at any College-sponsored or supervised function, including the detention of any person by the actual threat of serious bodily harm or the destruction of property, or conduct which unreasonably endangers the health or safety of any person.

5. Theft of or damage to College-owned or controlled property or that of any person lawfully on the campus.

6. Threatening other individuals with physical harm.

7. Committing any act likely to create an imminent safety or health hazard.

8. Entry to or upon, or use of College grounds, buildings, or facilities, when such entry or use constitutes a violation of College policies and procedures.

9. Engaging in speech that includes fighting words, which are those words that by their very utterance tend to incite an immediate breach of peace.

10. Interfering with, impeding or causing blockage of the flow of vehicular or pedestrian traffic.

11. Use, possession or distribution of narcotics or dangerous drugs or alcoholic beverages on College- owned or controlled property, or at any off-campus College-sponsored or supervised activities except as authorized by law.

12. Use or possession of firearms, explosives, dangerous chemicals, or other items commonly used primarily for the purpose of inflicting harm on human beings or causing damage to property, on College-owned or controlled property, except to the extent that permission to possess the same is granted by the person or persons duly authorized for this purpose.

13. Failure to comply with the lawful directions of College personnel acting in performance of their duties.

14. Willful and persistent conduct, by noise or other action, which unreasonably interferes with any lawful activity on College-owned or College-controlled property. In the enforcement of this policy, care shall be exercised to avoid inhibiting the right of free speech guaranteed in the Statement of Individual Rights.

Adopted: June 2, 1998 (Vol. 35, Res. 138) Amended: December 2, 2008 (Vol. 46, Res. 68)