Lincoln North Star Summer Clinic Registration 
This form MUST be filled out PRIOR to your student using LPS Facilities.  
  Please put a valid email account that you will be checking.  Any cancellations or changes will be email to the email you provide
                                                                              * Required
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WAIVER
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 or my child or children could be exposed to and could contract the virus which causes COVID-19 or incur other injuries or communicable health conditions, and I accept this risk and nonetheless voluntarily choose to allow my child or children to use 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 exposure to or contraction of the virus which causes COVID-19, 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.

In consideration of my children being allowed to use LPS facilities during the COVID-19 pandemic and for other good and valuable consideration, receipt of which is hereby acknowledged, I, on behalf of myself and my undersigned child or children and all others who may claim by, under, or through myself, do hereby release, covenant not to sue and waive any and all claims, causes of action, and lawsuits that I, my child or children, or any other guardian(s) may have or may accrue against the Lincoln Public Schools, its board of education, officers, administrators, teachers, coaches, agents, representatives, and insurers, whether for personal injury, including exposure to or contraction of the virus which causes COVID-19, or property damage, whether known or unknown, in any way arising out of or resulting from my and/or my child or children’s use of any LPS property or LPS facilities during the COVID-19 pandemic, including from the date signed below through the summer months until August 31, 2020.

I understand and agree that my signature below represents a signature on behalf of myself and each of my children.
PLEASE COMPLETE ONE FORM FOR EACH CHILD WHO WILL BE ATTENDING CAMPS
Students First Name *
Students Last Name *
Student ID # *
Grade Student Will Be In 2024-2025 *
Gender *
Baseball Clinic  Cancelled.  Not enough registrations
Girls Basketball Clinic 
Football clinic 
Boys and Girls Tennis
Boys Soccer 
Girls Soccer 
Softball Clinic 
Track & Field/Cross Country Cancelled due to lack of Registrations
Volleyball clinic 
Pole Vault  (Beginner-2yr Exp)
PAYMENT: Please pay in exact cash or by check made payable to LNS Athletics before or on the first day of clinic.  IF you mail your payments to North Star 5801 N. 33rd St Lincoln Ne. 68504.  Please put attention Allison Elliott on the envelope and  Please make sure it is mailed at least 2 weeks before the first day of camp.  Payment of exact change will be taken on the 1st day of the clinic as kids are checked in.  Those that qualify for the Free/Reduced Program pay:
 For a clinic that runs 1 or 2 days, the charge for a student who qualifies for F/R Lunch will be $5.
For a clinic that operates 3 or more days, the charge will be $10 for a student who qualifies for F/R lunch
Parent Electronic Signature:                                                                                                                                                         *By typing your name, you are stating that you have read and understand the LPS FACILITY USE WAIVER, RELEASE AND ASSUMPTION OF RISK on behalf of yourself and your child. *
A copy of your responses will be emailed to the address you provided.
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