Consent & Authorization Form (Complete and Sign both sections)
I hereby agree to participate in the San Mateo County Transit District (“SamTrans”)’s Travel Training Program and . . .
I hereby give permission for SamTrans volunteer Mobility Ambassadors to provide travel training based on the individualized goal and plan established by the Trainee and SamTrans. I understand that travel training involves walking within the community, crossing intersections, and riding buses and/or Caltrain under different weather conditions. I also understand that SamTrans, and its employees, agents, contractors, volunteers, and/or the Trainer, make no promise that I will be able to use public transportation independently upon completion of the SamTrans Travel Training Program. I have had the opportunity to discuss the SamTrans Travel Training Program with the Accessible Services Program Coordinator as part of the pre-travel interview and to ask questions. I understand and agree that the decision to use public transportation alone or without assistance after completion of the SamTrans Travel Training Program rests with me as the Trainee. I understand and agree that I am responsible for my bus and/or train fares during the travel training sessions. I hereby waive and release SamTrans, its employees, board members, contractors, agents, volunteer Mobility Ambassadors and the Trainer for any damages or injuries I sustain while participating in the SamTrans Travel Training Program, except with respect