I/We, the parent(s) or legal guardian(s) of this participant hereby authorize and consent to any X-ray examination, surgical diagnosis and/or treatment rendered under the general or special supervision of any licensed personnel on the staff of any licensed hospital. This authorization is given in advance of any specific diagnosis, treatment or hospital care required but is given to provide authority and power to render care which is deemed advisable in the best judgment of the physician. It is understood that an effort will be made to contact the undersigned prior to rendering treatment, but that any of the above treatment will not be withheld if the undersigned cannot be reached. In recognition of the possible dangers to myself/my child, I hereby knowingly and voluntarily waive any right or cause of action of any kind against the members, directors, agents, employees of the Greek Orthodox Archdiocese of America, the Greek Orthodox Metropolis of Denver and my local parish for any personal injury that may occur at or during Metropolis of Denver Events, or during the transportation of participants to and from Metropolis of Denver Events.

I hereby understand that the any medical expenses that I/my child may incur due to personal injury or illness is my financial responsibility and not that of the Greek Orthodox Archdiocese of America, the Greek Orthodox Metropolis of Denver, my local parish or the directors, agents, employees, and members of these organizations

The GOYA Front Range Lenten Retreat offers young members of the Church a unique opportunity to retreat away from the pressures and struggles of everyday life. Encouraging participants to step away from daily habits and routines, the camp makes available a community in which participants can become immersed in an authentic Orthodox Christian atmosphere.

A major component in creating such an atmosphere is separating participants from outside influences and distractions. Of course this is a cooperative effort accomplished by campers, staff, clergy, and parents. Your participation in this effort is vital to the success and effectiveness of the retreat.

To this end, participants and parents are being asked now, during the registration process, to start preparing for time away from “earthly cares,” focusing on Jesus Christ.


By accepting and signing this Covenant, campers and parents show their support of the edifying environment that will be presented at the GOYA Front Range Lenten Retreat, and they agree to contribute to that environment in the specified ways.


PERSONAL CONDUCT
All campers are expected to act in ways appropriate to an Orthodox Christian setting. While corrective or disciplinary action will be taken to resolve situations on site, the Retreat Director reserves the right to dismiss campers for gross violations of retreat rules. Participants will be sent home at the expense of their parents.

DIGITAL MEDIA CONSENT

I understand that from time to time, I may be photographed (including video photography and other digital imaging) while attending events within the Metropolis of Denver. I hereby grant to the Greek Orthodox Metropolis of Denver, its parishes and its ministries including but not limited to the Camp/Retreat Center, Youth, Young Adult and Family Ministries, and Philoptochos Society (collectively, the “Metropolis”) permission to photograph or use my likeness in a photograph, video, or other printed or digital media in any Metropolis publications including web-based publications. Further, I grant the Metropolis the right to use any digital images of me submitted by me or others without payment or any other consideration. For any photographs or images I submit that include others, I have notified them of this Digital Media Consent policy and confirmed their consent for publication by the Metropolis. I hereby affirmatively represent that no one depicted in any photographs or images I have submitted to the Metropolis has objected to the Metropolis’ use of the images. I understand this permission signifies that the digital images, including photographic or video recordings, of me and all other people shown on those digital images may be published and electronically displayed in Metropolis publications via the internet or other means. I understand and agree that all digital images submitted will become the property of the Metropolis and will not be returned.

I hereby irrevocable authorize the Metropolis to edit, retouch, copy, exhibit, publish, or distribute these photos for any lawful purpose. In addition, for myself and for the persons depicted in the digital images, I waive any right to inspect or approve the finished product. I hold harmless, release and forever discharge the Metropolis from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of my estate have or may have by reason of this Authorization. I represent that I am of legal age or a minor represented by my parent or legal guardian.

Nothing contained herein will constitute an obligation of the Metropolis to make use of any of the rights set forth herein.

By signing below, I acknowledge that I have read and understood the above digital images release. I affirm that I am at least 18 years of age, or if I am under 18 years of age, I have obtained the required consent of my parents or legal guardian(s).

MOBILE TECHNOLOGY

Use of mobile technology including mobile phones, smart phones, personal gaming systems (I-Pads, PSP, Gameboy, etc), and personal audio systems (Ipods, mp3 players, etc) remove participants from the focused atmosphere of the GOYA Front Range Fall Retreat community. For this reason, all mobile phones and gaming systems will be checked in to a designated staff member upon arrival at the retreat. As well, use of personal audio systems will be allowed only according to the rules set by the Program Director of the Retreat.

DRESS CODE

While camping is by its nature informal, Christian modesty should be taken into account at all times during the retreat. Inappropriate clothing (i.e. t-shirts with inappropriate logos, short-shorts, halter tops, exposed midriffs, “skimpy clothing,” etc.) is not permitted. Parents agree to assist their child in packing appropriately for camp.

PROHIBITED ITEMS

Possession of the following items is strictly prohibited at GOYA Front Range Fall Retreat: Firearms, Knives, Weapons, Fireworks, Stink Bombs, Drugs, Alcohol, Tobacco

Together we have reviewed the items listed above and fully understand them. Further, our signature below signifies that we and agree to abide by and support them.

I hereby give permission for my child to participate in all retreat activities under the attached guidelines. Further, I give permission for my child to go on scheduled trips away from the retreat premises, whether by foot or by vehicle.

I understand that my child will be sleeping in a cabin with multiple beds, rooming with several campers of the same sex and near in age, and at least two adult staff members of the same sex.

I am aware that my child may be included appropriately in photographs of events and activities of the GOYA Front Range Lenten Retreat, and that these pictures may be posted on the Metropolis website and/or used in promotional materials for the Metropolis of Denver Office of Youth and Young Adult Ministries.

In recognition of possible dangers to my child, I hereby knowingly and voluntarily waive any right or cause of action of any kind against the members, directors, agents, employees, and/or volunteers of the Greek Orthodox Archdiocese of America, the Greek Orthodox Metropolis of Denver, and my local parish for any personal injury that may occur at or during the GOYA Front Range Fall Retreat. Nor shall they be liable for any personal injury to my child occurring during the transportation to and from the GOYA Front Range Lenten Retreat.