Photo Release

I give permission for publication of photos of myself in publications produced by YWCA Olympia including but not limited to the agency website, social media accounts, e-newsletters, and donor/sponsor materials. I understand that I will not be paid any royalties or other compensation, and I give up any and all rights I may have to payment if my photo is published. Further, refusal to consent to photos will in no way affect the services I may receive now or in the future.  If I have any questions or wish to withdraw my consent in the future, I can do so at any time by contacting YWCA Olympia.  I further understand that any withdrawal of consent will not affect any publications that occurred prior to my withdrawal of consent.  By signing this form below I confirm that this consent has been explained to me in terms that I understand and that any questions I may have had have been answered to my satisfaction. 

Background Check information

Pursuant to RW 43.43.830, the YWCA does not allow any individual with a criminal conviction for abuse, sex crimes, theft or fraud to volunteer. Background checks are required and YWCA will conduct background check through the Washington State Patrol after receiving your consent below.

Please answer yes or no to the following question:

Hold Harmless Statement

The health, safety and well-being of volunteers participating in YWCA Olympia programs is of the utmost importance.  I do hereby agree and consent to participation in YWCA Olympia programs and do assume all risks and hazards which are part of the conduct of the associated activities. I hereby release, absolve, indemnify, and hold harmless YWCA Olympia, their officers, directors, employees, contracted employees, independent contractors, instructors, agents, organizers, and volunteers of any and all liability for damage, injury, or expense of any kind arising out of or connected with my participation in YWCA Programs.   I understand that in case of a medical emergency, my own personal medical plan will be used. As a condition of participation in YWCA Programming, I acknowledge that I have read this consent form, and knowingly, assume all of the risks associated with participating in any way in YWCA Programming.  I hereby release, to the fullest extent permitted by law the YWCA Olympia and their affiliates from any and all actions, claims, demands, or liabilities that I, my assignees, heirs, distributes, guardians, and legal representatives now have or may hereafter have for injury or damage resulting from my participation in these activities, irrespective of whether the same is based on breach of warranty, negligence, strict liability or any other theory of recovery.