I give full permission for my child(ren) to participate in the activities while at Dillon International’s Heritage Events conducted by Dillon International, Inc.,("Dillon") on June 23, 24 and 25, 2022. I fully and unconditionally release, remise, discharge and hold harmless Dillon (including its parent entities, affiliates, their current and former officers, directors, members, agents and employees), together with South Tulsa Baptist Church and providers of services, host and volunteers from any and all claims, charges, complaints, demands, actions, causes of action, suits, damages, liabilities and expenses (including attorneys’ fees) however caused, that might arise from my child(ren)’s participation in camp.
I hereby authorize Dillon International to use pictures of myself or my child(ren) taken in a photograph, digital image, videotape, motion picture, and/or testimonial (written words). I grant permission to use a camper’s 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.
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 and on behalf of my child(ren), 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.
COVID-19 Disclosure Agreement
I willingly agree to contact Dillon International if any camp participant included in this application begins displaying symptoms of COVID-19 or receives 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 the affected individual’s identifying 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 participation agreement, photo release, COVID-19 waiver, and COVID-19 disclosure agreement.