Father and Son Spring 2021 Campout

Thank you for registering for the ECYD “Father & Son” Campout.  Join us this spring for great camping, fishing, prayer, and fun activities to bond with your boys in the wild! The campout details are:

 

WHEN: April 17-18, 2021 (The camp begins at 10 am on Saturday and concludes at 10 am on Sunday after Mass.)
WHERE: 326 Dry Pond Road, Covington, GA
WHO: Fathers and/or Grandfathers and sons ages 5+
WHAT: Camp activities: Mass, formation talks, competitions, fishing, and bonfire.
COST: $75.00 flat fee for fathers/grandfathers, sons, and family groups
CONTACT: Patrick Russel here with any questions.

 

Register up to 4 participants
Qty
Description
Amount
Total

$75.00
$75.00
(Covers father/grandfather and all applicable aged sons in the family.)
 
Administrative Code
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Total: $75.00
Future Commitment: $0.00
SON INFORMATION
Adult Information
Emergency Contact Information
Permission to Participate - SONS
RC Activities Inc.
2020-2021
  1. NATURE AND DURATION OF ACTIVITIES: Father-Son Campout. Date: April 17-18, 2021. Time: Saturday, 10:00am to Sunday, 10:00am. Location: 326 Dry Pond Road, Covington, GA. Outdoor camping, prayer, Mass, talks, sports and games.
  2. ACTIVITY SUPERVISORS: Fr Patrick O’Loughlin LC.
  3. TRANSPORTATION: Transportation is not provided. Participants are responsible for securing their own transportation to and from the event, as well as to various locations during the event.
  4. 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).
  5. REQUIREMENTS: The child/child(s) named above are in good health and have 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 fields above.
  6. CONSENT: I/We hereby consent to the above-named child/child(s) participation in the activities described above including mentoring, and specifically request that she be allowed to participate in those activities. I/We warrant that I/We have full authority to legally consent to her participation in the activities described on this form, and all provisions contained herein.
  7. AUTHORIZATION: I/We hereby authorize RC Activities, Inc. to use the image and likeness of my/our child/child(s) 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/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/child(s) participation in the activities referenced on this form.
  8. 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 above-named child/child(s). I/We represent that the child/child(s) 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/child(s) injury.
  9. EMERGENCIES: If the above-named child/child(s) 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/child(s) blood type, allergies, or other medical problems (if any) are listed above.
  10. EMERGENCY CONTACTS: In the event of a medical or other emergency, the above named participant/s authorizes the activity supervisor(s) to contact the emergency contacts listed on the registration form.
  11. RELEASE AND INDEMNIFICATION: I/We release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, 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. 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.

 

ASSUMPTION OF COVID-19 RISK AND WAIVER OF LIABILITY

I acknowledge [for myself and/or my child(ren)] the highly contagious nature of COVID-19, as well as its' potential to cause infection, illness, injury, permanent disability, and death. I voluntarily accept and assume the risk that I may be exposed to or infected by COVID-19 by visiting/participating/attending FATHER-SON CAMPOUT operated by RC Activities, Inc. I further accept [for myself and/or my child(ren)] and assume the risk that such exposure or infection may result in my [my child(ren)] personal injury, illness, permanent disability, and/or death. RC Activities, Inc. cannot prevent you [for yourself and/or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while visiting/participating/attending FATHER-SON CAMPOUT. It is not possible to prevent against the presence of the disease. Therefore, if you [for yourself and/or your child(ren)] choose to visit/participate/attend FATHER-SON CAMPOUT you [for yourself and/or your child(ren) may be exposing yourself [your child(ren)] to and/or increasing your risk of contracting or spreading COVID-19.

I understand that the risk of becoming exposed to or infected by COVID-19 may be increased as a result of the actions, omissions, and/or negligence of RC Activities, Inc., including its independent contractors, agents, vendors, guests, and employees. I voluntarily assume [for myself and or my child(ren)] all of the risks of COVID-19 and of COVID-19 exposure and accept sole responsibility for any harm to me [my child(ren)] (including, but not limited to, personal injury, illness, permanent disability, and death).

In consideration of RC Activities, Inc. allowing me onto its premises/visiting/participating/attending FATHER-SON CAMPOUT I also, on behalf of myself [my child(ren)] and my successors and representatives, waive, release, and forever discharge RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any and all claims and causes of action of any kind or nature which are in any way related, directly or indirectly, to COVID-19, which I may have or that hereafter may accrue, including any such claims or causes of action caused in whole or in part by the negligence of RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns. I [for myself and/or my child(ren)]further agree that I will not bring any claim or cause of action against RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns related in any way, directly or indirectly, to COVID-19, and/or any associated personal injuries, illness, disability, or death. I [for myself and/or my child(ren)]further agree to indemnify, defend, and hold harmless RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any claims or causes of action of any kind arising from my exposure to COVID-19 as a result of visiting/participating/attending FATHER-SON CAMPOUT provided by RC Activities, Inc.
Electronic Signature
I have read and understand the above permission form in its entirety, and also understand that it is a legal document and I agree and consent to all terms and conditions contained within.
(Please type your First and Last Name)
RELEASE / WAIVER / INDEMNIFICATION
FOR ACTIVITIES -18 YRS & OLDER - FATHERS
2020-21
  1. NATURE AND DURATION OF ACTIVITIES: Father-Son Campout. Date: April 17-18, 2021. Time: Saturday, 10:00am to Sunday, 10:00am. Location: 326 Dry Pond Road, Covington, GA. Outdoor camping, prayer, Mass, talks, sports and games.
  2. ACTIVITY SUPERVISOR(S): Fr Patrick O’Loughlin LC.
  3. TRANSPORTATION: Transportation is not provided. Participants are responsible for arranging their own transportation to and from the mission.
  4. REQUIREMENTS: The participant named above/here 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 the appropriate fields above.
  5. CONSENT: The participant named above/here 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.
  6. AUTHORIZATION: The participant named above/here 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 website of RC Activities, Inc. or its successor in operation or affiliated organization(s) upon written consent of RC Activities, Inc. The participant named above/here understands that this authorization shall survive the end of his/her participation in the activities referenced on this form.
  7. INSURANCE: The participant named above/here 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 participant named above/here 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.
  8. EMERGENCIES: If The participant named above/here 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 above.
  9. EMERGENCY CONTACTS: In the event of a medical or other emergency, The participant named above/here authorizes the activity supervisor(s) to contact the emergency contacts listed on the registration form.
  10. RELEASE AND INDEMNIFICATION: I release and waive, and further agree to indemnify, hold harmless or reimburse RC Activities, 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. 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.

 

ASSUMPTION OF COVID-19 RISK AND WAIVER OF LIABILITY

I acknowledge [for myself and/or my child(ren)] the highly contagious nature of COVID-19, as well as its' potential to cause infection, illness, injury, permanent disability, and death. I voluntarily accept and assume the risk that I may be exposed to or infected by COVID-19 by visiting/participating/attending FATHER-SON CAMPOUT operated by RC Activities, Inc. I further accept [for myself and/or my child(ren)] and assume the risk that such exposure or infection may result in my [my child(ren)] personal injury, illness, permanent disability, and/or death. RC Activities, Inc. cannot prevent you [for yourself and/or your child(ren)] from becoming exposed to, contracting, or spreading COVID-19 while visiting/participating/attending FATHER-SON CAMPOUT. It is not possible to prevent against the presence of the disease. Therefore, if you [for yourself and/or your child(ren)] choose to visit/participate/attend FATHER-SON CAMPOUT you [for yourself and/or your child(ren) may be exposing yourself [your child(ren)] to and/or increasing your risk of contracting or spreading COVID-19.

I understand that the risk of becoming exposed to or infected by COVID-19 may be increased as a result of the actions, omissions, and/or negligence of RC Activities, Inc., including its independent contractors, agents, vendors, guests, and employees. I voluntarily assume [for myself and or my child(ren)] all of the risks of COVID-19 and of COVID-19 exposure and accept sole responsibility for any harm to me [my child(ren)] (including, but not limited to, personal injury, illness, permanent disability, and death).

In consideration of RC Activities, Inc. allowing me onto its premises/visiting/participating/attending FATHER-SON CAMPOUT I also, on behalf of myself [my child(ren)] and my successors and representatives, waive, release, and forever discharge RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any and all claims and causes of action of any kind or nature which are in any way related, directly or indirectly, to COVID-19, which I may have or that hereafter may accrue, including any such claims or causes of action caused in whole or in part by the negligence of RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns. I [for myself and/or my child(ren)]further agree that I will not bring any claim or cause of action against RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns related in any way, directly or indirectly, to COVID-19, and/or any associated personal injuries, illness, disability, or death. I [for myself and/or my child(ren)]further agree to indemnify, defend, and hold harmless RC Activities, Inc., its agents, employees, officers, directors, contractors, customers, successors, and assigns from any claims or causes of action of any kind arising from my exposure to COVID-19 as a result of visiting/participating/attending FATHER-SON CAMPOUT provided by RC Activities, Inc.
Electronic Signature
I have read and understand the above permission form in its entirety, and also understand that it is a legal document and I agree and consent to all terms and conditions contained within.
(Please type your First and Last Name)
Your Information
This is the address where your credit card statements are mailed.
A receipt will be e-mailed to this address.
COVID-19 ASSESSMENT/REQUIREMENTS

Anyone who has been diagnosed with COVID-19, exhibited symptoms of COVID-19, or had contact with a person that has or is suspected to have COVID-19 within the past fourteen (14) days cannot participate in the campout, unless they have completed the Post-Quarantine Protocol.

Please download and complete the COVID-19 self-assessment before attending the summer camp.

I have downloaded the self-assessment and agree to screen myself/child for COVID-19 symptoms before arriving to the campout.
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