Bridge Gaming Interest Form

Bridge Gaming: Bridge Leadership Academy’s New Esports Team

Submit your information to this interest form to help us build the new program.
We are excited to announce that we are building a new program within Bridge Leadership Academy: an Esports Team. Bridge Gaming will focus primarily on 12-16 year olds interested in competitive gaming, while also learning valuable life skills such as teamwork, leadership, self-control, communication, and more. We hope this program will help students not only transition to other Esports teams in high school and college, but also transform their lives holistically. The benefits of sports in young people’s lives is well known, but we see that students with physical limitations or a lack of interest in standard sports (football, baseball, etc) can miss out on the comradery and lessons that come with competing. This is a brand new program that we are hoping to build with the help of our community. If your child is interested in being a part of this program, please fill out the information below and be sure to leave questions/suggestions for us at the end of this form.

When: We plan on starting this program in the Summer of 2024. The team would meet on Tuesdays and Thursdays, weekly, from 4-6pm. Dinner would be provided at each meeting.

Where: The Bridge Leadership Academy building: 10521 Blue Ridge Blvd, Kansas City, MO 64134

Your student will need consistent transportation to and from our building.
Basic Information
Student Name*

First NameLast Name
Parent Name*

First NameLast Name
Parent Email*
example@example.com
Student School Email (optional)
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Phone*
Please enter a valid phone number.
Student's Date of Birth*

MonthDayYear
Date
What grade is your student in?*
What school does your child attend?*
What shirt size does your student wear?*
Please specific if it is a Youth or Adult size.
Please list any accommodations or special needs your student may need in order to participate.
Note: we do not discriminate based on special needs or disabilities and your response to this question will not affect your opportunity to participate in our Esports program.
Gaming Experience

These questions are directed toward your student.
How many years have you been playing video games?*
What consoles do you primarily play games on?*
Examples: Xbox Series X, PC, PS5, etc
What are your favorite 3 games to play?*
Please note that games that are rated Teen or Mature (or higher) will be reviewed by the Bridge team and each student must receive written permission from their parent/guardian to play them. In general, Bridge Gaming will look to exclude games rated Mature.
How many hours per week do you spend playing video games?*
Do you have any competitive gaming experience?*
If yes, please elaborate.
Example: competed at Park University in 2023 and placed 3rd.
Optional: what's your gaming name?
Gamer tag or username.
What are your goals when competing/playing?*
In other words, why do you play video games?
Why do you want to be a part of this program?*
What questions or suggestions do you have about Bridge Gaming?
Should be Empty:

Bridge Gaming: Bridge Leadership Academy’s New Esports Team

Basic Information

Gaming Experience