About Leaders in Training Program

I allow participation YMCA LIT Job Readiness Program, a collaborative effort between the Somerville YMCA and the Alliance of Massachusetts Y’s and the Bureau of Substance Addiction Services (BSAS). By signing in the space below, I agree to release and hold harmless the Somerville YMCA the Alliance of Massachusetts Y’s and the BSAS from all liability and loss occurring in connection with my child/ward’s participation in the LIT Program. In the event that my child/ward becomes seriously ill or injured, I consent to the administration of emergency procedures/treatment upon advice general or specific supervision of an attending hospital physician. The emergency procedures/treatment may include, but are not limited to anesthesia, x-rays, medical or surgical diagnosis, etc. However, I understand that the staff of the YMCA will make every reasonable effort to contact and notify me, in the first instance, when such illness or injury occurs. As described below, my child/ward has the following medical conditions and/or is taking the following medications; I understand that I am obligated to be forthcoming with this information and to update this information as needed.