sign up for camps

GWOL Registration Form

Sign up for GWOL Camps!
  • Date Format: MM slash DD slash YYYY
  • 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.
  • On behalf of my minor child (youth named on this registration), I hereby give permission for my child to participate in Girls Without Limits! Camps. I hereby warrant that both my child and myself are familiar with the risks involved in the activities of the Girls Without Limits! Camps. I acknowledge that my child’s participation in this program is voluntary and is not part of any regular school program. I do hereby agree and consent to my child’s participation in the Girls Without Limits! Camps and do assume all risks and hazards that are part of the conduct of the associated activities. I hereby release, absolve, indemnify, and hold blameless Girls Without Limits! and the YWCA of Olympia, their instructors, staff, agents, organizers, and volunteers of any and all liability for damage, injury, or expense of any kind arising out of or connected with my child’s participation in Girls Without Limits! Camps. I understand that in case of a medical emergency, my own personal medical plan will be used. As a condition of participation in the Girls Without Limits! Camps by the student named in this application, I acknowledge that I have read this consent form, and knowingly, on behalf of my child, assume all the risks associated with participating in any way in Girls Without Limits! Camps. I hereby release, to the fullest extent permitted by law, the YWCA of Olympia and the 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.