The SayPro Waiver and Consent Form is a digital form designed to obtain consent from participants (or their guardians) regarding their participation in the 5 Days Religious Studies Camp. This form ensures that participants understand any potential risks involved in the camp activities and voluntarily agree to the terms outlined.
Waiver and Consent Form
1. Participant Information
- Full Name of Participant:
(First Name, Last Name) - Date of Birth:
(MM/DD/YYYY) - Phone Number:
(Emergency contact number) - Email Address:
(Primary contact) - Guardian’s Name (if participant is under 18):
(Full Name of Parent/Guardian) - Guardian’s Contact Information:
(Phone Number and Email)
2. Acknowledgment of Risks
- Understanding the Risks:
I, the undersigned, acknowledge that my participation in the 5 Days Religious Studies Camp may involve some risks, including, but not limited to, physical activities, mental engagement, and travel (if applicable). I understand that certain camp activities may require a level of physical or mental effort, which may not be suitable for everyone.
☐ I acknowledge and accept these risks. - Nature of Religious Studies:
I recognize that the camp involves discussions and activities related to religious studies, which may touch on sensitive topics such as beliefs, practices, and cultural traditions. I agree to participate respectfully, with an open mind, and acknowledge that my views may be challenged in the context of these discussions.
☐ I acknowledge and accept these aspects of the camp.
3. Voluntary Participation
- Voluntary Consent:
I understand that my participation in the 5 Days Religious Studies Camp is voluntary, and I am free to withdraw at any time without consequence, as long as I follow the camp’s official withdrawal process.
☐ I agree to voluntarily participate in the camp.
4. Health and Safety Acknowledgment
- Health Considerations:
I confirm that I have disclosed all relevant health conditions, medications, allergies, or other medical information in the required Health and Safety Form. I acknowledge that it is my responsibility to notify camp staff if any changes occur to my health before or during the camp.
☐ I agree and understand my responsibility to share accurate health information. - Medical Emergency Consent:
In the event of a medical emergency, I give permission for SayPro staff to seek appropriate medical attention for me (or my minor child), including calling emergency medical services and providing medical professionals with the necessary health information.
☐ I consent to medical treatment in case of an emergency.
5. Media Release and Consent
- Photography and Video Consent:
I grant SayPro permission to photograph or record video/audio of my participation in the 5 Days Religious Studies Camp for educational, promotional, or archival purposes. I understand that these media may be shared on SayPro’s website, social media, or in other promotional materials.
☐ I consent to photography and video recording of my participation. - Right to Use Media:
I understand that I will not receive compensation for any use of the media that includes my likeness, and I waive any right to inspect or approve the final product.
☐ I waive the right to inspect or approve any media featuring my participation.
6. Release of Liability
- Waiver of Liability:
In consideration for being allowed to participate in the 5 Days Religious Studies Camp, I, the undersigned, waive any and all claims, actions, or liabilities against SayPro, its staff, volunteers, and affiliates arising from participation in camp activities, including but not limited to any accidents, injuries, or damages to property.
☐ I waive liability and agree to hold SayPro harmless from any claims. - Indemnification:
I agree to indemnify and hold SayPro harmless from any claims, actions, or liabilities arising from my actions or conduct during the camp, including any violations of camp rules or regulations.
☐ I agree to indemnify SayPro.
7. Code of Conduct Agreement
- Adherence to Camp Guidelines:
I agree to adhere to the guidelines, rules, and policies set forth by SayPro during my participation in the 5 Days Religious Studies Camp. This includes behaving respectfully towards facilitators, fellow participants, and camp staff, and engaging in all activities with an open mind and a willingness to learn.
☐ I agree to follow the camp guidelines.
8. Signature and Acknowledgment
- By signing below, I confirm that I have read and understood the contents of this Waiver and Consent Form, and I agree to its terms and conditions.
I acknowledge that I have been given the opportunity to ask questions about this form and that all my questions have been answered to my satisfaction. - Participant’s Signature:
(Signature of Participant, or Parent/Guardian if under 18) - Date:
(MM/DD/YYYY) - Guardian’s Signature (if the participant is a minor):
(Signature of Parent/Guardian) - Date:
(MM/DD/YYYY)
9. Additional Notes
- Special Considerations:
If you have any additional concerns or special requirements, please describe them here:
Thank You for Your Participation
By signing this Waiver and Consent Form, you acknowledge that you understand and accept the conditions under which the 5 Days Religious Studies Camp operates. Your safety, well-being, and respectful engagement are important to us, and we are committed to providing a supportive and enriching experience. Should you have any questions or need assistance, please feel free to contact us.
This Waiver and Consent Form Template helps to ensure that participants or their guardians are fully informed of the risks involved and agree to the terms before participating in the SayPro 5 Days Religious Studies Camp. It also serves as a legal release and provides clarity on media consent, liability, and adherence to camp guidelines.
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