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Registration deadline has been extended to April 23rd!

 

Day 1: Saturday, April 24th 10:00am - 3:00pm at Second Street Learning Center
Day 2: Sunday, April 25th 12:00pm - 4:00pm at City Park
Day 3: Saturday, May 1st 10:00am - 3:00pm at Second Street Learning Center
Day 4: Sunday, May 2nd 12:00pm - 4:00pm at Second Street Learning Center

 

Dear Parent/Guardian,

Your child has been invited to participate in the Junior League of Reading’s 10th annual ​Young Women’s Summit ​to be held the last weekend in April and the first weekend in May of this year. Day 1 will be on ​Saturday, April 24th ​from 10:00am to 3:00pm ​at the Second Street Learning Center located at 430 N. Second Street in Reading. Day 2 will be on Sunday, April 25th​ from ​12:00pm to 4:00pm ​at City Park. The Summit will continue with Day 3 at Second Street Learning Center on ​Saturday, May 1st ​from ​10:00am to 3:00pm​ and will conclude with Day 4 on ​Sunday, May 2nd​ from​ 12:00pm to 4:00pm​. Check-in will begin 15 minutes prior to start time. If you choose, transportation can be provided from Muhlenberg Middle School and four middle schools in the Reading School District via shuttle to the ​Second Street Learning Center on Days 1, 3, and 4 and to City Park on Day 2​. The shuttle schedule will be emailed to your email address once registrations have been received. Lunch and snacks will be served each day of the Summit. There is ​no charge ​associated with participation in this program.

The Young Women’s Summit is a four-day leadership development program for middle school girls designed to increase the developmental assets of our youth, as part of the Junior League’s ​Youth Empowered​ initiative. The purpose of the Young Women’s Summit is to build the self-esteem and personal power of young girls in a positive way by learning about themselves, their peers, and their community. The Summit will be facilitated by members of the Junior League of Reading and other members of the Greater Reading community.

On the second day of the Summit, participants will volunteer at ​Global Youth Service Day,​ an annual event hosted by VOiCEup Berks and the Youth Volunteer Corps of Reading. We will have fun while helping to lead outreach activities and to spruce-up City Park! It is our goal for the young women to see that they can make a positive difference in the lives of others and in their community.

We acknowledge that this has been a very challenging year for everyone, and especially for students who have been learning virtually for over a year. We are looking forward to giving the young women a much-needed opportunity to come together and connect in a safe space. At Young Women’s Summit, we will be following the recommended CDC protocols for school settings to prevent the spread of Covid-19, including temperature screenings, wearing masks, social distancing, hand washing and sanitizing, and increased cleaning and disinfecting of hard surfaces.

We seek your permission so that your child can participate in the ​Young Women’s Summit.​ Please digitally complete the consent, waiver, and registration by ​APRIL 8, 2021​. If you have any questions or concerns, please contact Lydia Snow at 610-301-7437 or ​lsnow@rmctc.org​.

Thank you for your support!

Lydia Snow
Summit Coordinator
Junior League of Reading, PA

 

 

JUNIOR LEAGUE OF READING YOUNG WOMEN'S SUMMIT

PARTICIPANT CONSENT

  • I give permission for the Junior League of Reading (“JLR”) to lead the participant in learning about connecting with themselves, their peers, and their community through interactive lessons, discussions, and service projects at Young Women’s Summit (“YWS”). All JLR facilitators have completed their full Clearances/Background Checks. 

     
  • I acknowledge that YWS is being held at Second Street Learning Center on April 24th, May 1st, and May 2nd, and at City Park on April 25th. 

     
  • I acknowledge the participant will be expected to follow the recommended CDC protocols for school settings to prevent the spread of Covid-19, including temperature screening, wearing a mask, social distancing, and hand washing, at YWS. 

     
  • I give the right and permission for JLR to publish, without charge, photographs taken at YWS and/or at other JLR functions. These photographs may be used in publications, including electronic publications, or in audiovisual presentations, promotional literature, or in other similar ways. 

     
  • I give permission for JLR to contact the participant and/or parent/guardian via email and/or a virtual learning platform, i.e. Google Classroom. 

     

 May 18, 2021 

 

 

 

JUNIOR LEAGUE OF READING YOUNG WOMEN'S SUMMIT

PARTICIPANT WAIVER and RELEASE FROM LIABILITY
This is a legally binding contract. Please read carefully before signing.

Activity: Young Women’s Summit (the “Activity”)
Date of Activity: April 24 & 25, 2021 and May 1 & 2, 2021

In consideration for permitting the individual identified below as "REGISTRANT" to participate in this Activity​, ​the below REGISTRANT and REGISTRANT'S PARENT/GUARDIAN, acting for themselves​, ​each other, each of REGISTRANT's parent(s)/guardian(s), each of their respective executors, administrators, estates, heirs, next of kin, successors, and assigns, and INTENDING TO BE LEGALLY BOUND, HEREBY:

A. RELEASE AND DISCHARGE the Junior League of Reading​, ​PA, Inc., and its affiliated or associated entities​, ​and each of their respective directors, officers, agents, employees, successors, and assigns (together, the "RELEASED PARTIES") from any and all liability arising from the RELEASED PARTIES' conduct, actions, or statements during the Activity, and during travel to and from the Activity, including, but not limited to, liability arising from negligence or carelessness of the RELEASED PARTIES during the Activity, and during travel to and from the Activity. REGISTRANT and REGISTRANT'S PARENT/GUARDIAN release and discharge only the RELEASED PARTIES, and expressly reserve all rights they may have against all other individuals and entities.

B. ASSUMPTION OF THE RISK. I acknowledge and understand the following: Participation includes possible exposure to illness including but not limited to COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; I knowingly and freely assume all such risks related to illness and infectious diseases, such as COVID-19, even if arising from the negligence or fault of the RELEASED PARTIES; and I hereby knowingly assume the risk of injury, harm, and loss associated with the Activity, including any injury, harm, and loss caused by the negligence, fault, or conduct of any kind on the part of the RELEASED PARTIES.

C. PROMISE NOT TO SUE (or permit another to sue on their behalf) the RELEASED PARTIES for any claims or causes of action ​released in ​or by this Waiver and Release from Liability​.

D. PROMISE TO INDEMNIFY​, ​DEFEND, AND HOLD HARMLESS the RELEASED PARTIES for any and all suits, claims, causes of action, actions, and judgments arising from REGISTRANT'S participation in the Activity, or travel to or from the Activity, and for any and all costs and fees (including attorneys' fees) incurred by any of the RELEASED PARTIES in relation to such suits, claims, causes of action, actions​, ​and judgments.

REGISTRANT'S PARENT/GUARDIAN does hereby represent that he/she is ​authorized ​to act​, ​and is in fact acting, as REGISTRANT's parent and/or legal guardian, has knowingly consented to REGISTRANT's participation in the Activity or Event, and has agreed to the terms of this Waiver and Release from Liability on behalf of himself/herself, REGISTRANT, and each of REGISTRANT'S parents and/or guardians​.

REGISTRANT'S PARENT/GUARDIAN further agrees to indemnify, defend, and hold harmless each and all of the RELEASED PARTIES from any and all suits, claims, causes of action, actions, judgments, costs, and fees, including attorneys' fees​, incurred or imposed upon each and all of the RELEASED PARTIES because of any defect in binding, or ​lack of ​legal capacity to bind, REGISTRANT and REGISTRANT'S PARENT/GUARDIAN to the terms of this Waiver and Release from Liability.

  May 18, 2021 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Participant's Preferred Name *

School *

Grade *

Age *

Ethnicity
T-shirt Size*
Does the student need transportation to YWS?*
No
Yes
If yes, which stop is preferred?
Does your child have any allergies?*
No
Yes

Allergies or Dietary Restrictions

Please list any mental or physical condition(s) your child has that we should be aware of and any medication s/he is taking
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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