Medical Release, Liability Release, General Waiver and Acknowledgements
I acknowledge that RFK (Royal Family KIDS)-Northern Utah is a faith based ministry and I agree with the basic tenets of Christianity believing in one God the Father Almighty, Maker of heaven and earth, And in one Lord Jesus Christ, His only-begotten Son. I understand that I am not to proselytize or denigrate other faith beliefs. I understand that as a person having direct contact with Utah Foster Children, I must undergo a mandatory Criminal Background Investigation and I give my permission for RFK-Northern Utah to conduct a confidential Background Investigation for the purpose of determining my fitness to serve as a RFK-Northern Utah volunteer. I understand that the use of alcohol and drugs (excepting prescribed medication) is prohibited at Camp. I understand that smoking cigarettes is prohibited in the presence of children or in any area of Camp accessible to children. I understand that I am expected to follow the Camp rules described in both the training manual and during the mandatory day training.
I understand that RFK-Northern Utah and RFK maintain strict policies against any form of child abuse and that violation of these policies may be cause for dismissal. Child abuse is punishable by law, and RFK-Northern Utah and RFK are bound by law to report allegations of abuse or any inapprpriate sexual contact to the proper authorities. ALL reporting is kept confidential by law. All volunteers must commit to immediately report any behavior that seems suspicious, questionable, abusive or inappropriate between: child-to-child, staff-to-child, and staff-to-staff.
If YOU are struggling with a sexual attraction to children, please opt out of service in RFK or any other child-serving organization, and seek help. One option is: "Hope for the Heart" at (800) 488-HOPE (4673) or www.hopefortheheart.org.
I understand that I will be required to submit to a background check as a condition of acceptance as a volunteer, and that unsatisfactory results, refusal to cooperate, or any attempt to affect the results of these background checks will result in me being removed as a volunteer or volunteer applicant.
I hereby certify that all the information provided by me in this Application is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in these documents may (or will) be cause for the denial of acceptance as a volunteer, or immediate removal as a volunteer, regardless of the timing or circumstances of discovery.
I hereby give Elevation Church permission to supply transportation, as needed, for my participation in activities associated with Royal Family KIDS Camp.
I authorize Elevation Church to act on my behalf if medical treatment is necessary for myself. I authorize Elevation church to obtain medical treatment and authorize medical services to be provided under the medical insurance identified in this application. If I have no insurance or my insurance does not cover these medical, dental or hospital treatments, I take full responsibility to pay for all treatment. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify For The Children (FTC), Royal Family KIDS (RFK), RFK-Northern Utah, Elevation Church and any owners, agents, officers, pastors, attendees or employees from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my participatin on any events, services or activities, etc... I agree to pay all medical costs related to an injury or illness that I may incur during my participation in Camp.
In consideration of the receipt and evaluation of this Application by RFK-Northern Utah and Elevation Church, I hereby authorize you to contact any references, churches, youth groups, schools attended, former and present employers, charities, courts, and any other person, agency, or organization that may have information about me, and for them to provide such information (including opinions) that they may have regarding my character and fitness for working with children. I hereby release any such references, churches, youth groups, schools attended, former and present employers, charities, courts, and any other person, agency or organization who may have provided information about me, including record custodians, both collectively and individually, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I also agree to hold FTC, RFK, RFK-Northern Utah Camp Leadership, and Elevation Church harmless from any damages created by my unwarranted attempt to collect damages for providing information described above. I waive any right that I may have to inspect any information provided about me or by any person or organization identified by me in the Application process.
I understand that submission of an application does not guarantee me acceptance as a volunteer. I further understand that should the RFK-Northern Utah Leadership extend an offer to me as a volunteer, it is for no specific duration and may be revoked by the RFK Northern Utah Camp Leadership or me at any time, with or without cause.
I understand that none of the documents, policies, procedures, actions, statements of RFK, For the Children (FTC), Elevation Church, the RFK-Northern Utah Leadership or their representatives and agents used during the volunteer application process is deemed a contract, real or implied. If accepted as a volunteer, I agree to conform to the rules, regulations, policies, and procedures of FTC, RFK, RFK-Northern Utah and Elevation Church while serving as a volunteer, and understand that such compliance is a condition of remaining a volunteer.
All Royal Family KIDS Camps are operated as a ministry of a local Sponsoring Church or in conjunction with a local non-profit organization. As such, all volunteers will fall under the authority of the Camp Leadership as trained by the FTC National Office and under the authority and beliefs of the Sponsoring Church. The Sponsoring Church may or may not require membership or attendance of their church, but all volunteers need to understand that church leadership has authority over the operations and expectations of the RFK Camp and the churches beliefs will inevitably be evident in the selection process and operation of the RFK Camp as a ministry of their church.
I have carefully read the above application, waiver and release, and agree it is my intention to exempt and relieve Elevation Church, For The Children, and Royal Family KIDS Camp Northern Utah Leadership from any and all liability. I also know the above is a legally binding agreement. I sign this Application and Release of my own free will.