I hereby authorize Dillon International to use pictures of myself taken in a photograph, digital image, videotape, motion picture, and/or testimonial (written words). I grant permission to use my photograph or other media for display on the Dillon website, social media account, and/or inclusion in Dillon publications. I understand that Dillon will not put any identifying information in the photo or video.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization. COVID-19 is extremely contagious. As a result, federal, state, and county governments, along with federal and state health organizations recommend social distancing and wearing masks. The liability insurance covering this event requires social distancing and wearing masks.
Dillon International, Inc. has put in place preventive measures to reduce the spread of COVID-19, but Dillon International cannot guarantee that you will be not become infected with COVID-19.
I recognize that while Dillon International has undertaken reasonable steps to lessen the risk of transmission of COVID-19 in connection with attendance at Dillon International’s Heritage Events, there are certain inherent risks associated with attending Dillon International’s Heritage Events regarding COVID-19.
On my behalf, I hereby release, covenant not to sue, discharge, and hold harmless Dillon International and South Tulsa Baptist Church, their employees, agents, volunteers and representatives from all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating to Dillon International’s Heritage Events. I understand and agree that this release includes any claims based on the actions, omissions, or negligence of Dillon International and South Tulsa Baptist Church, their employees, agents, volunteers and representative whether a COVID-19 infection occurs before, during, or after participation in Dillon International’s Heritage Events.
I understand I must fill out an online risk assessment within 24 hours of attending Dillon International’s Heritage Events and must complete an online safety training that will be provided by Dillon International prior to attending Dillon International’s Heritage Events.
I understand my temperature will be taken before entering the camp facility. No individual with a temperature of 100.4 F or above will be permitted to enter the facility. Temperatures will not be recorded.
COVID-19 Disclosure Agreement
I willingly agree to contact Dillon International if I begin displaying symptoms of COVID-19 or receive a diagnosis of COVID-19 within 14 days of being present at Dillon International’s Heritage Events. I understand a 24-hour phone number will be provided to me by Dillon International for this purpose. I further understand that this information is to be used for contact tracing purposes only, and that your information will be kept confidential and will not be shared with other camp participants.
I have read, fully understand and consent to the terms and liability release in the above photo release, COVID-19 waiver, and COVID-19 disclosure agreement.