Registration & Release

 WELCOME TO THE PYW FAMILY

ONLINE REGISTRATION AND RELEASE(S) FORM(S)

OR SCROLL TO THE BOTTOM OF THIS PAGE AND PRINT OUT COMPLETE PACKET

Please provide the required field.
Please provide the required field.

PHOTO RELEASE:


PYW has a nonprofit website and an account where photos and videos from group events are periodically published. We also have a Group bulletin board where we sometimes post photos from events. It is PYW’s policy that photos of children are never published with names or other identifying information.

Initial one:

 YES

Yes, you can use pictures and videos of my child. I hereby grant Phenomenal Young Women in White
Plains, Maryland the permission to use my child’s likeness in photographs, video, and other media in any and all of
its publications, including bulletin boards and website entries. I waive any right to royalties or other compensation
arising or related to the use of the photographs or videos.

 NO

 No—please do not print or publish photos of videos of my child online or in nonprofit group-related
publications.

GENERAL RELEASE:


“I/We hereby grant permission for my/our child __________________________ to be a member of the Phenomenal Young Women in White Plains, Maryland and to participate in activities arranged by the Phenomenal Women Team in this regard from time to time. We recognize the importance of the commitment that she makes and that her participation as a part of a larger community calls for responsible behavior. Therefore, I/we agree that if this child engages in behavior which, in the judgment of the adult leaders, is not in the best interest of the trip or event, our/my child or any member of the group may, therefore, be sent home.I/We will assume full legal and financial responsibilities for such a return trip.”

“I/We hereby release from any liability Phenomenal Young Women in White Plains, Maryland and all of its personnel, employees, adult leaders and representatives from any claims for unintended or unexpected accidents which might occur during participation in group events or traveling to or from said events. In granting this permission and release, I/We specifically recognize that my child may from time to time be transported to events by private vehicles operated by advisors or volunteers not as agents, employees or representatives. In such regard, I/We specifically release and will hold harmless Phenomenal Young Women their officers, employees, agents and representatives from any and all liability which may arise as a result of such transportation whether or not organized by Phenomenal Young Women in White Plains, Maryland.”

PARTICIPANT HEALTH FORM 

Complete Registration Packet

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