2022 Hybrid Pro Bono Spring Break Program
COVID Waiver e-Form
presented by the 
Texas Access to Justice Commission and SBOT

PBSB Opportunities
March 7-11 or March 14-18, 2022
Thank you for submitting your application to participate in the Commission’s Pro Bono Spring Break program (PBSB). We are excited to return to in-person events and look forward to your participation.

PBSB participants and State Bar and Commission employees must follow safety protocols required by host hotels and entities. In addition, as a courtesy to and for the safety and comfort of fellow guests and colleagues, all PBSB participants are strongly encouraged to:
  • wear face coverings at all times, except when eating or drinking;
  • maintain a social distance from fellow attendees and others, at a distance to be announced at the event based on current CDC guidelines;
  • wash hands and use sanitizer frequently; and
  • follow other safety protocols in place for PBSB
You may not participate in PBSB if:

    1) You are experiencing or exhibiting any COVID-19 related symptoms as outlined by the CDC;

    2) You have been recently exposed to a person with a positive and confirmed case of COVID-19; or

    3) You have been diagnosed with COVID-19 and are not cleared as noncontagious by state or local public health authorities or by a physician.

If you are experiencing symptoms, have COVID, or have been exposed, please do not participate in PBSB and email the Commission ASAP to cancel your PBSB spot.

By “clicking” or “signing below,” you are acknowledging that an inherent risk of exposure to COVID-19 exists in any public place where people are present. By participating in the Commission’s PBSB, you voluntarily assume all risks related to exposure to COVID-19 and agree not to hold the State Bar of Texas, Texas Access to Justice Commission, or any of its affiliates, directors, officers, employees, agents, contractors, or volunteers liable for any illness or injury.

I certify that I have carefully read and agree to all the provisions above.

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the best phone number at which to reach you?

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* 4. I certify that I have carefully read and agree to all of the provisions above.

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* 5. I hereby submit my COVID Waiver eForm to participate in the 2022 Hybrid PBSB Program.