ALABGS Citizen Pledge and Parent/Guardian Consent Form
Every Delegate and Parent/Guardian must read over this form carefully. This MUST be filled out before delegates arrive to ALABGS on Sunday, June 16th 2019
Delegate First Name *
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Delegate Last Name *
Your answer
Delegate High School *
Your answer
Citizen Pledge

As a citizen of American Legion Auxiliary Badger Girls State, sponsored by the American Legion Auxiliary, Department of Wisconsin, I voluntarily make the following pledge:

I understand that American Legion Auxiliary Badger Girls State is an Americanism program for God and Country and that it is a study of city, county and state government as well as a study of good citizenship.

I am not a member of, do not subscribe to, nor endeavor to put into practice the principles of any group opposed to our form of government.

I will take a serious and conscientious interest in discharging my duties as a citizen of American Legion Auxiliary Badger Girls State. This includes respecting the American Flag at all times, including saluting the Flag.

If elected to office, I will serve that office to the best of my ability.

I will not leave “campus” without written permission from the Executive Director. Campus is the area where our meetings are held and during the time they are held in that particular area. In addition, I will not walk alone on campus.

I will not use or have in my possession intoxicants, tobacco products, illegal drugs, firearms, other weapons or explosives.

I will be fair and honest in all my dealings with my fellow citizens and staff.

I will obey all rules of American Legion Auxiliary Badger Girls State as written in my Citizen Manual and those explained to me by my City Counselor or other staff members. I realize that failure to follow the rules could result in dismissal.

I further realize that if I do not participate fully and do not successfully complete the session, I will not be eligible for certificates, awards and scholarships.

I understand that if I am sent home by the Executive Director (this decision is to be at the sole, un-appealable discretion of the Executive Director) for infraction of any of the rules, my parent(s)/guardian(s), my sponsoring American Legion Auxiliary Unit or Post and my school will be notified. My school will be further requested to strike attendance at American Legion Auxiliary Badger Girls State from my academic record.

If I am sent home, my parent(s)/guardian(s) shall be responsible for my transportation home as soon as it is feasible.

I will make a formal report (written or oral) to my sponsoring American Legion Auxiliary Unit or American Legion Post, my contributors and my high school.

I will reimburse the American Legion Auxiliary Badger Girls State for any damage, destruction, or defacing of any University of Wisconsin-Oshkosh property caused by me while attending this session.

I agree to pay to the American Legion Auxiliary Badger Girls State program $55.00 for failure to return the dorm room key given to me during registration.

Furthermore, after the American Legion Auxiliary Badger Girls State session has ended, it will be my duty to put into practice the principles of good citizenship and patriotism that I have experienced.

By typing your (the Delegate) name below, you indicate that you have read the above statements completely, and agree to the statements above: *
Your answer
Waiver and Consent by Parents/Guardians
The undersigned parents/guardians of the above delegate in consideration of instruction and training given to her as a citizen of the American Legion Auxiliary Badger Girls State (ALABGS,) to be held at the University of Wisconsin Oshkosh from June 16th-21st 2019, do hereby give consent to use my child's name and/or picture(s) individually and/or in groups, in news releases for radio, newspaper, television, and/or on the ALABGS website, as well as participate fully in all planned activities of ALABGS, and any scheduled tours which are part of the ALABGS program.

We hereby release and discharge the ALABGS Inc, The American Legion Auxiliary, Department of Wisconsin, counselors, directors, and officers from any and all claims, demands, suits, actions, or causes of actions which may have by any reason of illness, injury, or accident incurred or suffered by the above delegate while in attendance at ALABGS, no matter how caused or occasioned

This waiver shall also cover a two week period following her return home from session.

By typing your (the Parent/Guardian) name below, you indicate that you have read the above statements completely, and agree to the statements above: *
Your answer
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