Conquest Camp Brebeuf Father & Son weekend
Friday, May 24 - May 26, 2024 at Camp Brebeuf, 8434 Wellington Road 27, Rockwood, ON N0B 2K0
NATURE OF ACTIVITIES: Activities will include sports, meals, talks and formative activities, daily mass and rosary, a campfire, and other similar events.
ACTIVITY SUPERVISOR(S): Marvin Duarte, David Mizgala, Fr Jerek Scherber, LC, along with other certified adult volunteers of the club.
TRANSPORTATION: Not Applicable. Participants are responsible for securing their own transportation to and from Camp Brebeuf, as Conquest Milton does not provide transportation.
REQUIREMENTS: The participant named above 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 Emergencies section below. Dietary restrictions shall be provided if applicable.
CONSENT: The above named participant certifies that he is above the age of majority and hereby consents to participate in the activities described above, and specifically requests that he be allowed to participate in those activities.
AUTHORIZATION: The above named participant hereby authorizes Conquest Milton to use the image and likeness of him in photograph or video form whether taken by or commissioned by Conquest Milton in its promotional materials and for its promotional purposes associated with its non-profit activities. This authorization shall extend to use of his image and likeness on the website of Conquest Milton or its successor in operation or affiliated organization(s) upon written consent of Conquest Milton. The above named participant understands that this authorization shall survive the end of his participation in the activities referenced on this form.
INSURANCE: The above named participant understands that Conquest Milton does not carry any insurance relative to the activities or for any injury that may occur to him. The above named participant represents that he is (a) covered by insurance through his own insurance carrier; or (b) that he is personally financially responsible for any and all medical costs incurred as a result of injury.
EMERGENCIES: If the above named participant requires any emergency medical procedures or treatments during the activities, he consents to the activity supervisor(s) taking, arranging for or consenting to such procedures or treatments in the discretion of the activity supervisor(s).
RELEASE AND INDEMNIFICATION: I release and waive, and further agree to indemnify, hold harmless or reimburse Conquest Milton and Legion of Christ Canada, 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, 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 Conquest Milton and Legion of Christ Canada, 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.