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What We’re Doing
Girls Without Limits!
sign up for camps
GWOL Registration Form
Sign up for GWOL Camps!
Which GWOL Camp(s) are you registering for?
Saturday, September 21: Robotics Camp - $30
What pronouns does the camper use?
Camper's date of birth
Date Format: MM slash DD slash YYYY
Relationship to Camper
State / Province / Region
ZIP / Postal Code
Best Phone to reach YOU
Parent/Guardian (YOU) Email
Camper Ethnicity: Is your camper Hispanic or Latina/Latinx?
Prefer not to answer
Race: Would you describe your camper as (check all that apply, optional)
Native American or Alaska Native
Black or African American
Native Hawaiian or Pacific Islander
Does your camper have any physical condition/disability or allergies we should know about?
If YES, please describe
Emergency Contact #1
Emergency contact #1 Phone
Emergency Contact #2
Emergency contact #2 Phone
What is your camper's method of transportation to/from camp?
Parent/Guardian pick up
Please list names of individuals authorized to pick up your campers from Camp
Is there anyone who is NOT authorized to pick up your camper from camp?
If YES, please list
May your camper be filmed or photographed for YWCA youth programming or agency publicity? Photos may be used on our website, social media accounts and/or donor materials. We do NOT use last names.
Let's discuss further
Does your camper quality for free or reduced lunch?
Has your camper participated in a GWOL! Camp since August 2018
YWCA Olympia partners with Thurston County Public Health and Social Services, Synthesis Services LLC, and your child’s school. This partnership works together to understand, assess, and meet the needs of adolescent girls in our communities by way of a program evaluation. This program evaluation is a stipulation of our YWCA of Olympia funders, and will provide us with invaluable information and feedback on how Girls Without Limits! is impacting our program participants. All participants will be asked to complete a pre and post-program survey. All surveys are anonymous and are processed in a confidential manner. While participation in the survey is required, all survey questions are optional. In order to provide your child and family with the best services and support possible, we need your permission to share anonymous survey information with the evaluation team: By enrolling the child listed above in Girls Without Limits!, I understand that I am authorizing the release and exchange of student records between The YWCA of Olympia employees, Thurston County Department of Public Health and Social Services, Synthesis Services LLC, Office on Women’s Health, and my child’s school. This includes information contained on this registration form, as well as program evaluation data. I understand that for the purposes of coordinating support for my child, that YWCA of Olympia employees may also verbally share information regarding my child’s education and development. Those receiving information under this release understand that this information is protected under state and federal law. They are not authorized to release it to any agency or person not listed in this release without specific written consent of the parent/legal guardian. This permission is effective from 09/01/2018 until 10/31/2019 unless cancelled in writing.
Release & Consent for Program Evaluation
I have READ the Program Evaluation and Release of Information Form. I give CONSENT for my child to participate in the evaluation and consent to the release of information.
Release of Liability: PLEASE READ
The health, safety and well-being of community members participating in YWCA Olympia programs is of the utmost importance. On behalf of my minor child (youth named on this registration), I hereby give permission for my child to participate in YWCA Youth Programming. I do hereby agree and consent to my youth’s participation in YWCA Olympia Youth Programs and do assume all risks and hazards which are part of the conduct of the associated activities. I hereby release, absolve, indemnify, and hold harmless YWCA Olympia, their officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers of any and all liability for damage, injury, or expense of any kind arising out of or connected with my youth’s participation in YWCA Programs. I understand that in case of a medical emergency, my own personal medical plan will be used. As a condition of my youth’s participation in YWCA Programming, I acknowledge that I have read this consent form, and knowingly, assume all of the risks associated with participating in any way in YWCA Programming. I hereby release, to the fullest extent permitted by law, the YWCA Olympia and their affiliates, from any and all actions, claims, demands, or liabilities that I, my assignees, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my child’s participation in these activities irrespective of whether the same is based on breach of warranty, negligence, strict liability or any other theory or recovery.
Release of Liability Statement
I have READ and AGREE to the Release of Liability.
Parent/Guardian consent to participate in GWOL Camp(s)
YES, I give permission for my child to participate in the GWOL!(s).
Your typed (printed) name serves as your signature