Leadership Board Confirmation
Congratulations, you have been selected for the Leadership Board, Class of 2022-2023, Class 12! You were hand selected from a large group of high school lacrosse players in North Texas. As a Leadership Board member, you will help directly oversee a group of student-athletes from Bridge. Your commitment to the Leadership Board helps continue to strengthen our mission of using lacrosse to broaden the horizons of our community's youth.
Sign in to Google to save your progress. Learn more
Leadership Board Member Name *
Leadership Board T-Shirt Size *
Parent/Guardian Name *
I, the undersigned, do hereby give my full consent and assume, knowingly and freely, any and all the risks of participating in any and all activities of Bridge Lacrosse Dallas Inc. As the parent and/or legal guardian, for my participating child to participate in any and all activities of Bridge Lacrosse Dallas Inc. I recognize that involvement in this program requires a commitment on the part of me and my child. I assume all of the risks associated with participating as a member of Bridge Lacrosse Dallas Inc. I hereby agree to protect Dallas Independent School District, After-School All-Stars and Uplift Education, and their representatives, employees, agents, volunteers, coaches and officials, and do hereby hold all such people and entities, harmless of and from any loss, liability, claim, injury, damage or expenses of any nature whatsoever which might be incurred, or otherwise accrue, to my child or the undersigned, by virtue of his participation in or being present during the course of the program year. This includes, but is not limited to, travel to and from. I certify my child is physically fit to participate in Bridge Lacrosse programming and all its components. I understand that it is my responsibility to provide any insurance deemed necessary by me to cover any injury to my child while in this program, including membership for my child in US Lacrosse. *
Assumption of the Risk and Waiver of Liability Relating to Coronavirus/COVID-19The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. Bridge Lacrosse has put in place preventative measures to reduce the spread of COVID-19; however, Bridge cannot guarantee that you or your child(ren)will not become infected with COVID-19. Further, attending any Bridge event or activity could increase your risk and your child(ren)’s risk of contracting COVID-19. By signing this agreement, I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that my child(ren) and I may be exposed to or infected byCOVID-19 by attending Bridge events and activities and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at a Bridge event or activity may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Bridge employees, volunteers, and program participants and their families. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to my child(ren) or myself (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I or my child(ren) may experience or incur in connection with my child(ren)’s attendance at Bridge events or activities or participation in any Bridge programming (“Claims”). On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless Bridge Lacrosse, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of Bridge Lacrosse, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Bridge Lacrosse event or activity. I further agree to notify Bridge Lacrosse immediately if my child or any member of my child’s immediate family or household or any individual my child has recently come into contact with is diagnosed with or exhibits symptoms consistent with COVID-19.
Clear selection
Digital Signature *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bridge Lacrosse. Report Abuse