I understand that my child, alone or with other participants and/or YW Boston staff, volunteers, or representatives may be interviewed and recorded, may provide written or oral statements, and/or may be photographed by YW Boston.

I hereby grant permission to YW Boston to generate, prepare, advertise, describe, and/or publicize YW Boston and its work, goodwill, public education and/or fundraising activities, and otherwise use the photographs and interviews as they may determine, without review by me or my child and without financial or other obligation of any nature to me or my child. If you do not want your child's photo used, please submit a signed letter stating your denial of permission.

By signing this form, I acknowledge and agree that I am voluntarily waiving certain legal rights in good faith in order to allow participation in any YW Boston youth program or related activity. I understand that this waiver applies to myself and the minor child named previously, for whom I am the natural or legal guardian.

I recognize that participation in physical activities involves inherent risks, including the risk of injury. I agree that my child will follow all safety protocols and instructions provided by YW Boston youth program staff. I further agree to release and hold harmless YW Boston, its staff, volunteers, affiliates, and partners from any and all liability or claims arising out of participation in the program.

I hereby give permission for the minor previously named to receive emergency medical treatment, including hospitalization, in the event I/we cannot be reached in an emergency. The completed form may be photocopied for trips outside of YW Boston/program facilities.