What We’re Doing
Girls Without Limits!
Economic Empowerment Program
Youth Action Board
The Other Bank
other bank wishlist
product drive toolkit
other bank volunteers
Advocacy & Public Policy
Workplace Equity Initiative
Girls Only Active Learning
YWCA Olympia News
Who We Are
Board of Directors
Meet our Staff
Careers & More
Connect With Us
sign up for camps
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?
Wednesday, Dec 19 - Friday, Dec 21: Wild Science Winter Break Camp - $120
What pronouns does the camper use?
Camper's date of birth
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 girls 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
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.
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 Girls Without Limits Camp(s).
Your typed (printed) name serves as your signature