I am over the age of 18 and I am a parent and/or legal guardian for the children listed below.  I am signing this document below on behalf of myself and my children who are named below.

I understand that the Lincoln Public Schools is willing and prepared to make available for use by LPS students certain LPS facilities, including but not limited to gyms, indoor practice areas, weight rooms, wrestling rooms, hallways, restrooms, outside practice fields and conditioning spaces, and associated facility areas (the “LPS facilities”).  I am fully aware of the specific risks and dangers associated with using all LPS facilities.  I also understand and am aware that due to the size and spacing of gyms, internal practice areas and rooms, weight rooms, wrestling rooms, hallways, restrooms, outside practice fields and conditioning spaces, and other areas of LPS facilities, the possibility of closer contact between students, supervisors, staff, or coaches, the nature of physical exertion and conditioning workouts, and other factors involved with using LPS facilities, that there is a significant risk that my children could be exposed to and could contract the virus which causes COVID-19 or incur other injuries or communicable health conditions.

I understand that using the LPS facilities is completely voluntary, at my and my child or children’s own risk.  I and my child or children are assuming the risk that by using the LPS facilities. I agree that Lincoln Public Schools is not responsible in any manner for (1) my or my child or children’s usage of LPS facilities, (2) any personal injury to me or my child or children occurring as a result of using LPS facilities hereunder, including but not limited to physical injury, or (3) property damage to me or my child or children occurring as a result of using LPS facilities.  I further understand that I am solely responsible for any personal injury or property damage caused by me or my child or children as a result of the usage of any LPS facilities.

I understand and agree that my signature below represents a signature on behalf of myself and each of my children.