GELI 2026 Individual Registration

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Who should we call in the case of an emergency?

Please describe your session in short detail.

Let us know if you’d require a mic, if you’ll be using a slideshow, if you will bring your own laptop or if you’ll need our help setting up!

Select your top three session options. Sessions are first come, first serve, but you may be added to the waitlist. Depending on availability, sessions may shift. Full session descriptions and agenda can be found at bit.ly/mcswgeli.

(I.e. Additional language, translation, or ASL needs, ADA access, Medication Storage, Religious needs, other)

Please include any remedies or requirements (for instance, if you’re allergic to bee stings but you carry an epi-pen, please let us know).

I agree to assume all risks and responsibilities surrounding my participation in the MCSW Girls Empowerment and Leadership Initiative Event, and I hereby release, waive and discharge the Massachusetts Commission on the Status of Women, the University of Massachusetts Amherst, its affiliates, and their respective trustees, officers, agents and employees from any and all liability, harm, claims, damages and losses arising out of or in connection with the Event, including, without limitation, any loss, damage or injury arising while traveling to and from the Event. In the event that I am signing up a group of people, I attest that I have generated their individual concurrence to this waiver for GELI as part of their registration process.

By signing this form, I give consent and permission for MCSW staff, volunteers, representatives, or contractors to provide medical care to me or to my child, to transport me or my child to a medical facility or to seek the aid of emergency medical services as deemed appropriate. I further authorize MCSW staff, volunteers, representatives, or contractors to render whatever treatment they consider necessary for my or my child’s health, and I agree to pay all costs associated with that care and transportation.

We’re especially sensitive to media releases when at youth events where minors may be present. By signing this form, I understand that photo and video recording of this event will be captured and may be shared publicly by the MCSW.

This field is for validation purposes and should be left unchanged.

Massachusetts Commission on the Status of Women

Participant Information

General Adult Volunteer

Speaker/Facilitator Information

Commissioner Information

Sessions

Accessibility & Dietary Restrictions