Page 33 - VT Student Handbook-Rev 6.12.19_Neat
P. 33

Murray State College
                                                                                         Veterinary Technology
                                                                                            Student Handbook






                                                                    From Here… Go Anywhere.



                                      Murray State College Veterinary Technology
                               Release, Hold Harmless and Indemnification Agreement

                       1.  I, the undersigned student at Murray State College, do hereby release Murray State College,
                          the Board of Regents of Murray State College, its officials, officers, and employees from all
                          claims, demands, damages, actions or causes of action, whether on account of damages to
                          property,  bodily  injury  or  death,  or  from  negligence  resulting  from  my  participation  in
                          learning activities on and off the campus of Murray State College. This includes but is not
                          limited to field trips, professional association meeting trips, externships, and all other learning
                          activities.

                       2.  I, the undersigned student a duly enrolled STUDENT in the Veterinary Technology program of
                          Murray  State  College,  have  been  appraised  of  the  risks  inherent  in  exposure  to  zoonotic
                          diseases  including  but  not  limited  to,  rabies,  tetanus,  leptospirosis,  tuberculosis,
                          toxoplasmosis, brucellosis, cat scratch disease, salmonellosis, Lyme disease, psittacosis, West
                          Nile virus, intestinal parasites, and fungal disease such as ringworm.

                       3.  I  have  discussed  the  diseases  above  with  my  physician  and  accept  the  responsibility  of
                          understanding precautions  necessary to decrease my risk and exposure as I complete my
                          education process in the Veterinary Technology Program

                       4.  I further acknowledge that I am solely responsible for following standard precautions and
                          other infection control guidelines in the laboratory and clinical facilities, maintaining safe
                          practice, and providing my own health insurance.

                       5.  I  understand  that  in  the  Veterinary  Technology  profession  there  exists  the  possibility  of
                          traumatic  injury  including,  but  not  limited  to  bites,  kicks,  scratches,  or  possible  electrical
                          hazard  exposure  from  equipment.  I  will  not  hold  the  Veterinary  Technology  Program
                          responsible in the event of such an injury incurred in carrying out functions of my profession.

                   _________________________________________   ______________________________________________
                   Signature                                         Printed Name

                   _________________________________________________________________________________________________
                   Street Address                             City/State/Zip Code

                   ______________________________
                   Date

                        Murray State College    One Murray Campus    Tishomingo, OK 73460    580-387-7000   Fax 580-371-9844 
                                                        www.mscok.edu



                                                                                                       33
   28   29   30   31   32   33   34   35   36   37   38