NATURE AND DURATION OF ACTIVITIES: Event details as outlined at the top of my online registration.

TRANSPORTATION: Not Applicable.  Participants are responsible for securing their own transportation to and from activities, as the company does not provide transportation.

MENTORING: Participants may be offered mentoring, which is intended to help young people personalize the principles of Christian living that they receive at home and in club activities.  Mentoring involves a one-on-one conversation with an adult conducted in plain view of others.  When dealing with adolescents, confidentiality will be maintained to foster openness of dialogue, but situations involving sexual abuse of a minor or threats to life or physical health will be reported to the appropriate authority and to the parents (except in those cases where the parent may be the alleged abuser). 

REQUIREMENTS: The child named is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the child.  Parents/guardians should specify allergies and medical problems in section 10 below. 

CONSENT:  I/We hereby consent to the named child's participation in the activities described above including mentoring, and specifically request that the child be allowed to participate in those activities.  I/We warrant that I/We have full authority to legally consent to the child’s participation in the activities described on this form, and all provisions contained herein. 

AUTHORIZATION: I/We hereby authorize RC Activities, Inc. to use the image and likeness of my/our child in photograph or video form whether taken by or commissioned by RC Activities, Inc. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of my/our child’s image and likeness on the website of RC Activities, Inc., or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc.  I/We understand that this authorization shall survive the end of my/our child’s participation in the activities referenced on this form. 

INSURANCE: I/We understand that RC Activities, Inc. does not carry any health insurance relative to the activities or for any injury that may occur to the named child.  I/We represent that the child is (a) covered by insurance through my/our own insurance carrier; or (b) that I/We am/are personally financially responsible for any and all medical costs incurred as a result of the child's injury.

EMERGENCIES: If the named child requires any emergency medical procedures or treatments during the activities, I/We consent to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s).  For purposes of such procedures and treatments, my/our child's allergies or other medical problems (if any) are listed on the online application.

EMERGENCY CONTACTS: are listed on the online application.

I give permission for Event Supervisor(s) and leaders to communicate with my child using text messaging and/or email regarding the details of the Activity / Program (Only participants 15 years old and older). (Information included on online application).

RELEASE AND INDEMNIFICATION: I/We release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, Inc., RC Federation, Inc., and Consolidated Catholic Administrative Services, Inc., the individual members, agents, directors, officers, employees, volunteers, and representatives thereof, as well as activity supervisors, from and against, any claim which I, any other parent or guardian, any sibling, the above-named child, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly,for any losses (including attorneys’ fees incurred by RC Activities, Inc., RC Federation, Inc., and Consolidated Catholic Administrative Services, Inc., or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my/our child's participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I/We understand that this release and indemnification shall survive the end of my/our child’s participation in the activities referenced on this form and shall have no limitation in time or amount.

I understand and agree that my electronic signature is being applied to the legal document "Permission to Participate in Activities" and will be valid in a court of law.

I understand that this is a legal document that I am agreeing to, and I have read and understand all of the above and agree to all terms and conditions contained therein.

NATURE AND DURATION OF ACTIVITIES: Event details as outlined at the top of my online registration.

TRANSPORTATION: Not Applicable.  Participants are responsible for securing their own transportation to and from activities, as the company does not provide transportation.

GROUND TRANSPORTATION:  Local drivers and/or hired bus and/or public transportation from the mission site will provide missionaries with ground transportation.

REQUIREMENTS: The participant named above is in good health and has no physical or medical limitations that would cause the activities as described above to be detrimental or dangerous to the participant.  Specific allergies and medical problems should be indicated in section 9 below.

CONSENT: The above name participant certifies that he/she is above the age of majority and hereby consents to participate in the activities described above, and specifically requests that he/she be allowed to participate in those activities. 

AUTHORIZATION: The above named participant hereby authorizes RC Activities, Inc. to use the image and likeness of him/her in photograph or video form whether taken by or commissioned by RC Activities, Inc. in its promotional materials and for its promotional purposes associated with its nonprofit activities. This authorization shall extend to use of his/her image and likeness on the website of RC Activities, Inc. or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc.  The above named participant understands that this authorization shall survive the end of his/her participation in the activities referenced on this form. 

INSURANCE: The above named participant understands that RC Activities, Inc. does not carry any insurance relative to the activities or for any injury that may occur to him/her.  The above named participant represents that he she is (a) covered by insurance through his/her own insurance carrier; or (b) that he/she is personally financially responsible for any and all medical costs incurred as a result of injury. 

EMERGENCIES: If the above named participant requires any emergency medical procedures or treatments during the activities, he/she consents to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s).  For purposes of such procedures and treatments, the above named participant’s blood type allergies or other medical problems (if any) are listed on the application.

RELEASE AND INDEMNIFICATION: I release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, Inc., RC Federation, Inc., and Consolidated Catholic Administrative Services, Inc., the individual members, agents, directors, officers, employees, volunteers and representatives thereof, as well as activity supervisors, from and against, any claim which I, any parent or guardian, any sibling, or any other person, firm or corporation may have or claim to have, known or unknown, directly or indirectly, for any losses (including attorneys’ fees incurred by RC Activities, Inc., RC Federation, Inc., and Consolidated Catholic Administrative Services, Inc., or any of its individual employees, agents, volunteers, etc. in enforcing this indemnity provision) without limitation in time or amount, damages or injuries arising out of, during, or in connection with my participation in the activities, the travel to and there from, and the rendering of emergency medical procedures or treatment, if any. I understand that this release and indemnification shall survive the end of my participation in the activities referenced on this form and shall have no limitation in time or amount.

I/We have read and understand the above and agree to all terms and conditions contained therein.

I understand and agree that my electronic signature is being applied to the legal document "Permission to Participate in Activities" and will be valid in a court of law.

Before the camp, all adult volunteers must complete the RC volunteer certification found at Volunteer Certification and participate in the volunteer orientation session at 6:00 pm on May 29.