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        • Adult Programs
        • Support Programs
        • Youth Programs
          • Empower & Equip
          • STEAM Queens
          • Growing Opportunities
          • Pad Pantry
  • Empowerment
  • News & Events
    • Events
  • About Us
    • What We Do
    • Our Team
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Carlisle
Home > Programs > Youth Programs > Summer 2023 Youth Camps > Summer 2023 Youth DnD Camp Registration

Summer 2023 Youth DnD Camp Registration

DnD Camp Registration 2023

Capped at 20

Participant Name(Required)
Address(Required)
Caregiver/Guardian Name(Required)
Pick-up(Required)

Emergency Contact Information

If you cannot be reached, please provide two names of local persons to contact in case of emergency.
Name(Required)
Name(Required)
Release of liability(Required)
I understand that, in the event of an emergency involving my child, it may be necessary for a staff person or other representative of YWCA Carlisle & Cumberland County to administer basic first aid to my child and/or transport my child to a hospital, physician's office or other health care facility. I hereby consent to the treatment and/or transportation of my child under such circumstances, and release YWCA Carlisle & Cumberland County, its employees, President/CEO and agents from any claim arising out of or related to such treatment or transportation, except in the case of gross negligence. I will bear all expenses incurred in transportation and medical treatment.
Media Release(Required)
Without expectation of compensation or other remuneration, now or in the future, I hereby give my consent to YWCA Carlisle and Cumberland County, their affiliates and agents, to use my image and likeness and/or any testimonial statements from me in its publications, advertising, social media, or other media activities. This consent includes, but is not limited to:
(a) Permission to interview, film, photograph, tape, or otherwise make a video reproduction of me and/or record my voice
(b) Permission to use my name; and
(c) Permission to use quotes from the testimonial(s) (or excerpts of such quotes), the film, photograph(s), tapes (s) or reproduction (s) of me and/or recording of my voice, in part or in whole, in its publications, in newspapers, magazines and other print media, on television, radio educational and awareness.
Price: $150.00
Quantity
Credit Card(Required)

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YWCA Carlisle & Cumberland County

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Carlisle, PA 17013
717-243-3818

24 hr. Sexual Assault / Rape Crisis Hotline
1-888-727-2877

Hours

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Saturday: Closed

Sunday: Closed

YWCA Carlisle and Cumberland County is dedicated to eliminating racism, empowering women and girls and promoting peace, justice, freedom and dignity for all.

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