Texas Oklahoma Key Leader Registration

In the case of medical emergency, I understand that every effort will be made to contact the emergency contacts listed above. In the event those persons cannot be reached or time does not permit, I hereby give permission to a licensed physician or other licensed medical provider, to provide proper treatment, including but not limited to hospitalization, injection, anesthesia and/or surgery, for the above-named Key Leader participant. On behalf of myself and my ward/minor, I/we hereby RELEASE, WAIVE AND FOREVER DISCHARGE Kiwanis International and its officers, directors, employees, parents and subsidiaries, agents, from any and all claims, liabilities, causes of actions, damages, demands, judgments, executions, liens and costs whatsoever, in law or equity, including, without limitation, liability for death or bodily injuries to any person or damage to any property resulting from any (i) claims made against medical providers of emergency services under this authorization, or (ii) against Kiwanis International for obtaining medical emergency services for said Key Leader participant pursuant to this authorization.

I, as the parent or legal guardian for the above-named Key Leader participant, and give my permission for him/her to attend the weekend retreat, sponsored by Kiwanis International. I also have read and understand the Community Values Agreement, and I understand that a violation of certain provisions of these rules may result in the dismissal of my Key Leader participant from the event. I hereby certify that the information provided in this registration is correct.

Key Leader Community Values Agreement

Key Leader participants, adult advisors and invited guests are expected to demonstrate behavior consistent with the high ideals of the Key Leader program and should abide by the provisions of this agreement while in attendance at any Key Leader event. Every member will respect the authority of the Key Leader district chairs and site coordinators, as well as the Kiwanis International designated staff.

Responsible Behavior

• Participants may not possess or consume any alcoholic beverages.
• Participants may not possess or use any drugs or other controlled substances, with the exception of medication prescribed for the attendee.
• Participants may not possess or use tobacco or nicotine products of any kind, this includes a vape device.
• Participants are expected to abstain from any activity of a sexual nature.
• Participants may not possess weapons, firecrackers, mace, or anything of a dangerous nature or act in any way unbecoming of a Key Leader.
• Participants may not post confidential information about other participants, Key Leader volunteers, Key Leader adults, Kiwanis advisors, or school or camp personnel from this event on social media.
• Participants will refrain from bullying/cyber bullying behavior during the Key Leader weekend.

Lodging

• Participants staying in a camp or conference center must sleep in their assigned room or cabin.
• Female participants are not allowed in the room of any male participant, and male participants are not allowed in the room of any female participant.
• Male and female participants may be present together in cabin lounges when an adult chaperone is present.
• All participants are expected to abide by a curfew from 12:00 a.m. and lasting until 6:00 a.m. unless otherwise specified by the Key Leader Administrator or camp.

Dress Code

• All participants are expected to wear “camp casual” clothing. This includes shorts, t-shirts, jeans, sweatshirts, and closed-toe shoes. This also applies to sleepwear, which should be pajama pants/shorts (or similar) and a t-shirt (or similar).
• At no time will any clothing with inappropriate language or graphics be allowed. Any shirts, shorts, or skirts deemed to be of inappropriate length will not be allowed.
• All participants are required to wear name badges for all weekend events.

Enforcement

• Violations of this agreement will result in notification to the respective nominator and sponsor, and immediate notification to the parents/guardians and could result in immediate dismissal from the program.
• Violations involving destruction of property, or possession, consumption or use of alcoholic beverages, tobacco, nicotine, or controlled substances may result in dismissal of the attendee from the event, at the sole discretion of Key Leader committee and Administrator. In addition, depending on severity of the issue, local authorities may also be involved.
• Notification, in writing, will be made by the Key Leader International staff or his or her representative, to the participant’s high school, and to the parents of any member disciplined under this section.
• The Key Leader program has been designed as a complete educational experience from 4 pm on Friday afternoon through 12:00pm on Sunday morning. All participants are expected to attend the full experience, and these values will be in effect during this whole time.