Summer 2023 Youth PRIDE Camp

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.

I recognize that if the box is not checked, my child may be omitted from group photos, and will not be

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.