General Release from Liability

For consideration, I hereby release, defend, and indemnify:

The University of Texas at Austin Petroleum Extension

14525 Kirby Dr., Pearland, TX 77047

from all claims and obligations, known or unknown, arising from the following scheduled event:

Please make a selection regarding transportation for the scheduled field trip on Wednesday, November 18, 2026

Houston Museum of Natural Science

5555 Hermann Park Dr., Houston, TX 77030

The party signing this release has not assigned any claims or obligations covered by the release to any other party. The party signing this release intends that it both bind and benefit himself or herself and any successors.

I acknowledge that by typing my name and submitting this form serves as my official signature and verifies the accuracy of the data.