Girls Who Lead Orientation

Register to attend orientation to register for Girls Who Lead in Lexington. This is a mandatory orientation, parent and child must attend!

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Informed Consent and Release of Liability

I hereby release and hold harmless the Kentucky Association of African American Professional Women, Incorporated and its agents, representatives, and employees (collectively and individually KAPAAW) from any and all liability which may arise in connection with my participation in any and all activities sponsored by the Kentucky Association of African American Professional Women, Incorporated or any other offices, departments, or organizations associated with the Kentucky Association of African American Professional Women, Incorporated so sponsored shall be referred to as Programs.

This release shall include but shall not be limited to potential liability from accidents or injuries which may occur in connection with or potential liability from the content of any and all Programs. Furthermore, I agree to indemnify the Kentucky Association of African American Professional Women from any suit, claim or any other action brought by any parent, whether biological, adoptive or custodial, guardian or family members of any youth participating in any Program on account of or in connection with my participation in any and all Programs.

I understand that the Kentucky Association of African American Professional Women is not responsible for determining whether the content of any Program is suitable for the participants but that such determination shall be made by the participant and/or parent/guardian. I declare that I have read completely the terms of the release and that I understand fully and voluntarily accept each and every term of this release.

Youth Liability Form: Medical Release

As parent/guardian(s) of the named applicant, after fully considering the possibilities of harm arising out of or in connection with reasons of illness, injury, accident or death incurred or suffered by our child’s and/or my own participation during the meeting, activities, events, service projects, we accept the responsibility for any and all injury to our child and/or myself which may occur during participation in activities, and any other time during the scheduled and planned events. I/We certify that our child and/or myself is in good health, and free from any disability that would make participation in the program inadvisable.

As the parent/legal guardian, I request that in my absence the above-named child be admitted to any hospital or medical facility for diagnosis and treatment. I request and authorize physicians, dentists, and staff duly licensed as doctors of medicine or doctors of dentistry or other such licensed technicians or nurses, to perform any diagnostic, operative procedures and x-ray treatment of the above minor. I accept responsibility for all associated costs for treatment.

I have read this release and indemnification agreement and understand its meaning. This release is intended to bind my heirs, representatives, successors, assigns and administrations.