ST. DEMETRIOS GREEK ORTHODOX CHURCH OF FORT LAUDERDALE WAIVER AND COMPLETE RELEASE OF LIABILITY, MEDICAL TREATMENT AND PHOTO AUTHORIZATION

In consideration of the St. Demetrios Greek Orthodox Church of Fort Lauderdale, Florida, Inc. (“Church”) furnishing or making available services, property, camp site, transportation, supervision, activities, resources, supplies, programs and equipment to enable the undersigned participant (the “Participant”) to participate in Church religious, social, cultural, athletic or other activities, services, programs and events (collectively, the “Church Events”), and for other good and valuable consideration, the receipt and sufficiency of which are hereby acknowledged, the undersigned Participant and the undersigned legal Guardian of Participant, on behalf of themselves, and their respective children, representatives, executors, heirs, beneficiaries and successors (all of the foregoing being collectively defined as the “Undersigned”) fully and unconditionally agree as follows:

1. The Undersigned fully understand, acknowledge and agree that:

(a) all indoor or outdoor Church Events have inherent risks, dangers, hazards and exposures (collectively defined as the “Dangers”);

(b) participation in Church Events and/or use of Church owned, borrowed or leased equipment, facilities, real or personal property, buildings, or spiritual, residential or recreational items, properties or equipment (collectively defined as the “Church Property and Equipment”) may result in injury, illness, sickness, disease, strains, breaks, fractures, partial and/or total paralysis, death or other ailments or injuries that could cause serious disability (all of the foregoing being collectively defined as the “Injuries”);

(c) these Dangers or Injuries may be caused by: (i) accidents, the forces of nature, foreseeable or unforeseeable causes, or other causes; or (ii) the actions, omissions or negligence of other participants in Church Events or other individuals or entities; or (iii) the actions, omissions or negligence of the Church Youth Director, Church Event chaperons or leaders, clergy or other Church Council members, parishioners, agents, subcontractors, officers, volunteers or employees of the Church (all of the foregoing individuals being collectively defined as the “Church Officials”); and

(d) by the participation by any of the Undersigned in Church Events or use of Church Property and Equipment, the Undersigned hereby assume all risks and Dangers and all responsibility for any and all Injuries, Dangers, losses and damages, which occur or arise therefrom, whether caused in whole or in party by the actions, omissions or negligence of any of the Church Officials, the Church or any other person or entity.

2. The Undersigned Participant and Guardian, on behalf of all of the Undersigned, including their respective children, representatives, heirs, beneficiaries and successors, hereby voluntarily release, waive, discharge, hold harmless, defend and indemnify the Church, and all Church Officials, from any and all Injuries, Dangers, lawsuits, other proceedings, claims of any kind, actions or losses of any kind, including without limitation those for bodily injury, Injuries, property damage, wrongful death, loss of services or otherwise, which might arise out of use of the Church Property and Equipment or participation in, or travel to, any Church Events. The Undersigned specifically understand and agree that the Undersigned are releasing, discharging and waiving, without limitation, any claims or actions that the Undersigned may have presently or in the future for the negligence, actions, omissions or other conduct by Church or any or all of the Church Officials in connection with Church Events or Church Property and Equipment. The Undersigned also hereby represent that the Participant is in good physical and mental condition and is capable of participating in outdoor and indoor recreational activities and programs all without incident or problem of any kind. The Undersigned accept all responsibility for Participant’s physical well being and health and the results of the Undersigned’s participation in any such activities or Church Events.

3. THE UNDERSIGNED HAVE READ THIS WAIVER AND RELEASE AND BY SIGNING IT AGREE THAT IT IS THE UNDERSIGNED’S INTENTION TO FULLY AND COMPLETELY RELEASE, EXEMPT, RELIEVE AND HOLD HARMLESS THE CHURCH AND ALL CHURCH OFFICIALS FROM ANY LIABILITY OR OTHER CLAIM OF ANY KIND FOR ANY INJURIES, DANGERS, PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE, ACTIONS, OMISSIONS OR OTHERWISE IN ANY WAY RELATED TO CHURCH EVENTS OR CHURCH EQUIPMENT.

4. Any Church Official may seek whatever medical attention or treatment he or she believes the Participant may need, including, without limitation, having them see a doctor or other professional at a hospital, clinic, other medical facility or at Church Events (collectively defined as the “Medical Professionals”), and any Medical Professionals may treat the Participant and provide whatever medical attention or treatment they believe the Participant requires or could benefit from (the “Medical Treatment”).

5. The Undersigned Guardian and Participant (if of legal age) will remain completely financially responsible and liable (regardless of whether or not he or she has insurance) for any and all costs, fees or expenses associated with any such Medical Treatment, and the Guardian and Participant (if of legal age) will promptly reimburse and indemnify the Church, any Church Official and/or the Medical Professionals for any costs, fees, expenses or claims of any kind they may incur in obtaining such Medical Treatment for the Participant; provided, however, that nothing herein shall obligate the Church or Church Official to incur any such costs, fees or expenses or seek such Medical Treatment, and nothing herein shall supersede, limit or conflict with any Waivers, Releases or Hold Harmless Agreements that may be executed in favor of any of the Church or any Church Officials in this or any other document.

6. Representatives and authorized contractors of the Church are hereby authorized to take and record photographs, videotape or other images, and or make audio, video or other recordings, of Participant and Participant’s activities at or involvement in Church Events, or using Church Property and Equipment, solely for use by the Church in its brochures, newsletters, video tapes, recordings, web sites and other promotional material or items to promote the Church or Church Events, all without any remuneration to Participant, Guardian or the Undersigned.

CAMPER ACCIDENT INSURANCE NOTICE

St. Demetrios Greek Orthodox Church of Fort Lauderdale does not provide any accidental death, disability, dismemberment, and medical/dental expenses insurance on behalf of the students participating in the activity. For coverage of injuries, you may wish to consider the STUDENT ACCIDENT INSURANCE PLAN made available by the school to parents at the beginning and throughout the school year.

ELEMENTS OF RISK

The out-of-camp educational activity programs, being offered, involve certain elements of risk. Accidents may occur while participating in out-of-camp activities, which may cause injury or illness (e.g. campers are advised to wear long sleeves, long pants, shoes and socks and an insect repellent on unprotected skin when participating in areas where there is a chance of being bitten by an infected mosquito with West Nile Virus).

These accidents result from the nature of the activity and can occur without any fault on either the part of the camper, or St. Demetrios Church or its employees or agents, or the facility where the activity is taking place. By choosing to participate in the activity, you are assuming the risk of an accident occurring.

The chance of an accident occurring can be reduced by carefully following instructions at all times while engaged in the activity.

PRIVATE MOTOR VEHICLES TRANSPORTATION AND INSURANCE

St. Demetrios Church recognizes that private motor vehicles may be used for some out-of-camp trips. All volunteer drivers must have their own third party liability insurance coverage.

FREEDOM OF INFORMATION NOTICE

The information provided on this form is protected under the Freedom of Information and Protection of Privacy Act and will be utilized only for the purposes related to the Camp’s policy on Out-of-Camp Programs.

** Please read and make note of the important PAYMENT and CANCELLATION terms below. **

I authorize St. Demetrios's Summer Camp to apply any remaining balance or cancellation fees to the same payment method I entered and used to pay my initial deposit. I understand it is my responsibility to contact St. Demetrios should I need to change my method of payment.

2016 Cancellation Terms & Conditions:
* Cancellations received on or before April 30th are charged a $150.00 Cancellation Fee & $10.00 Processing Fee.
* Cancellations received between May 1st & May 31st are charged a $200.00 Cancellation Fee & $10.00 Processing Fee.
* Cancellations received beginning June 1st are non-refundable & all monies paid are forfeited.

{Balances for payments are charged on the last day of the month in which you registered your child (Ex - if you register on April 20th, your account will be charged the balance on April 30th; if you register on May 1st, your account will be charged the balance on May 31st)}

ADVISORS: Please remember that as adults, we should be leading by example, not asking the children to do something we are not willing to do ourselves. In the spirit of that example, we ask everyone, adults and children, to please observe the following minimum dress expectations.

LADIES: Dresses should be modest. Please refrain from “lingerie” style blouses. Please refrain from tank tops, halter tops, mini-skirts or anything sleeveless. Please refrain from anything low-cut, or with bare shoulders, bare back, and/or bare stomach. Please refrain from anything overly fitted (this includes dresses, tops, and pants). With the exception of sporting activities, please refrain from wearing shorts that are shorter than the tips of your fingers. If we see rolled up “Sophies,” we will ask that they be unrolled.

GENTLEMEN: Men should also dress modestly. Shirts need to be tucked in. Please refrain from wearing jeans. Clothes should be clean. Please refrain from sagging and bagging.

Anyone not following these minimum expectations will be asked to change their clothes.

Please remember that we send messages with the way we dress. The type of clothing we have asked you to refrain from above, while fashionable today, often sends a provocative message, overly sexualized and emphasizing only our physical attributes. However, the message that we send with our bodies as Christians should be one of modesty that encourages others to view not only the bodies that God has blessed us with, but that allows our Christian love to shine through. We all want to be noticed, but what do we want to be remembered for? When dressing, we should ask ourselves several questions. Does this outfit reflect who I truly am, or only what my body is capable of? Do these clothes portray class, sophistication, dignity, and elegance? Is this how I would dress if I were standing before God’s throne? Will this outfit distract others and make me the center of attention, rather than God?

Humility is the proper attitude towards greatness. Modesty is part of that humility.

***If you have to ask if your clothing is appropriate for a Christian activity, the answer is probably NO***