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.