Each consenting participant will be asked to fill out four questionnaires before and after the program related to the GirlSpace program on subjects including, resilience, leadership, mental health, and social connectedness. We will also be asking some of the participants to participate in a brief follow-up telephone interview about their experience in the program. Receiving your child’s feedback before and after the GirlSpace program will allow the evaluators to track important changes that are made while participating, and to revise the program for future participants. As the parent/guardian of the participant, I consent to participate in the current research project regarding my child’s experience in the GirlSpace Program. A consent form will be provided to you with further information.
As the parent/guardian of the participant, I consent to allow YWCA Edmonton to reproduce or distribute any photographs, video, film, audio or other similar material in association with the GirlSpace Program and related events/activities for promotional and/or archival purposes. There is no time limit to this consent; however, consent can be revoked at anytime with written notice to one of the facilitators.
We, the Participant and parent/guardian, understand the information on this form is collected in accordance with relevant privacy legislation. We give permission for the information in this package to be used in the event of a medical emergency or to provide crisis support for the Participant. We authorize YWCA Edmonton to obtain medical treatment for the Participant and consent to medical treatment on behalf of the Participant. We acknowledge that in the event of an emergency, treatment may be provided to the Participant and that the parent/guardian will be financially responsible for any costs associated with such treatment or services (Example: ambulance transportation).
We hereby release YWCA Edmonton, its staff, volunteers and its insurers from any claims, demands, or actions in the event of loss, injury or damage to the Participant’s person or property, except when such loss, injury or damage is due to negligence on behalf of its staff or volunteers.
We understand that the Participant will follow the rules of YWCA Edmonton’s GirlSpace program that will be provided to them. If the Participant does not follow the rules they may be removed from the program.
I understand the purpose and expected activities of GirlSpace. I am aware that I will need to attend on a regular basis and not share what other participants talk about during the group. I am aware that I may revoke my consent to participate at any time and will do so in writing. I, the participant, agree to participate in YWCA Edmonton’s GirlSpace Program.
GirlSpace is Safe Space that welcomes and supports all members of the 2SLGBTQQIA+ community.
Thank you for taking the time to complete the registration form! Please press "submit" below to complete the registration process. We look forward to having you join our program!