Hold Harmless Statement

In case of accident or illness, I authorize the calling of medical services. I will not hold the YMCA or the volunteers responsible. In case of accident, I can be reached at the numbers stated. In the event of an emergency, I give the YMCA permission to provide first aid and/or transport my youth to the nearest medical facility. I also give permission for the necessary emergency treatment by a physician/hospital/clinic. By my signature and of my own free will, I do hereby agree to identify and hold harmless the YMCA from any and all claims and demands, cost or expense arising out of any injuries sustained by myself or any party in which I am responsible. I give my permission for the use of photos taken by the YMCA. I understand that a $10.00 service fee will be assessed to all credits or refunds. NSF Policy (Insufficient Funds)- All returned checks, bank drafts, credit card charges will be submitted to ECASHFLOW systems and include a service fee of $25.