YWORLD Summer Camp 2019 Application

Agreeing to this form grants permission for the following:

*Permits the staff and volunteers of the YWCA Greensboro to transport your child/children on any outings to and from, and any activities/meetings sponsored by the YWCA. I understand that my child/children will be transported by bus, van, or car. I release the YWCA from any liability in connection with the Summer Camp Program—including any liability resulting from all recreational and instructional activities, field trips, and transportation.

*Interviews, surveys, evaluations, questionnaires of program material and services received.

*I understand that there will be educational information on the following topics: Healthy/Unhealthy relationships, communication, goal setting, volunteering, privilege, disabilities, and civil rights.

*Media coverage of the Summer Camp Program—Interviews, photos, videotaping, and radio.

*Authorize the YWCA staff and volunteers to seek and approve any medical treatment for my child/children/ward when I cannot be reached in the event of an emergency. I agree to hold the YWCA and the Physician or hospital treating the above named minor harmless.

I acknowledge that I have read the YWCA Summer Camp 2019 Application, Attendance, Consent and Liability forms in its entirety. I have full and complete knowledge and understanding of what I read, and I agree to all of the terms and policies within this document. I understand that upon completion of the application I am required to pay fees indicated within it, as well as give full permission to the YWCA Greensboro Summer Camp Program Manager, Staff, Volunteers, Transportation to care for my child/children while he/she/they are under their watch. I agree that any emergencies, situations, incidents that occur will be handled and communicated with the parent/s and/or guardian/s. I also, in correspondence with the YWCA, grant them full permission to take my child/children/ward’s cell phone/s at the beginning of class to allow my child/children the optimum Summer Camp 2019 experience, and expect to get in contact with Summer Camp Program Personnel when/if I need them.