Rooted in Resilience

Join us for an unforgettable, in-person, adventure in nature with our Rooted in Resilience program! This program will provide a safe and empowering space for girls to embrace their roots, find their voice, and cultivate resilience. Meet at the YWCA for 10AM. Pick up is at 2pm.

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Select a program date (or select all)*
July 31, 2024
August 7, 2024
August 14, 2024
Child's Name*
First Middle Last
Date of Birth*

Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*
Work Phone
Emergency Contact and Medical Info
Medical Release*
I authorize the YWCA, as agent for the undersigned, to consent with respect to said minor, to an x-ray examination, anesthetic, medical, dental or surgical diagnosis or treatment, and hospital care which is deemed advisable by, and is to rendered under general or special supervision of, any physician or surgeon licensed under the provisions of the MA Medical Practice Act on the medical staff of any hospital, whether such diagnosis or treatment is rendered at the office of the physician or at the hospital. I understand that the YWCA is not responsible for costs incurred for medical care.
I understand to dress child appropriately for the weather, including sun protection and insect repellent as needed. *Please also pack a water bottle and any necessary medications.
Allergies*
Our nature immersion program offers children the opportunity to explore and learn in the great outdoors. To ensure a safe and enjoyable experience for everyone, we ask that you please inform us of any allergies or sensitivities your child may have, especially those related to plants, insects, or other outdoor elements. Please type in any allergies or sensitivities below:
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