We, the undersigned, being the parents or legal guardians of the participant named above, do hereby consent to the participation of our child in a short-term adventure trip to the above named location. We are aware of the hazards and risks to our child associated with participating in such a trip, including but not being limited to death or injury by accident, illness, weather conditions, inadequate medical services, criminal activity, and random acts of violence and understand that these trips include transportation by car or van, camping, canoeing, hiking, backpacking, swimming, jumping into the water from objects on shore, fishing, and the many outdoor activities normally associated with camping routines in a wilderness environment.
We certify that our child is physically fit and has no medical conditions that would exclude him or her from participating in this adventure trip.
We understand that while our child participates in the Kairos Summit to the above named location, he or she is responsible to abide by the rules established by Kairos and the instructions of its representatives. Any infraction of the rules, or of any instructions from an authorized Kairos representative (trip leader, chaperone, or sponsor), can result in the dismissal of our child from the trip. In the event our child is dismissed from further participation in this trip due to a refusal to abide by rules or instructions, we, the undersigned, agree to assume the cost of returning the child to his or her home. We also agree, under these circumstances, to forfeit any right to a refund from Kairos of any pre-paid fees or expenses. We understand that such an action would only be taken after notification of the Trip Leader and the undersigned.
We also give permission for pictures to be taken that may be used in, but not limited to, Kairos publications, staff newsletters, and shared participant online folders.