I understand that participation in the program noted above offered through The Pines Catholic Camp, involves a certain degree of risk and danger. In consideration of the benefits to be derived and after carefully considering the risk involved, and in view of the fact that The Pines Catholic Camp is a not-for-profit organization, and having full confidence that precautions will be taken to ensure the safety and well-being of me and/or my son/daughter, I give my consent for the participant(s) below to take part in these (or other) activity(s), and:

I hereby release and waive any and all claims that I may have against The Pines Catholic Camp, the Roman Catholic Diocese of Dallas, Sacred Heart Parish and their employees, agents, representatives, or volunteers (collectively, "Releasees") arising from my child's participation in this program. I AGREE TO FULLY INDEMNIFY AND HOLD HARMLESS RELEASES FROM ANY AND ALL CLAIMS ARISING FROM MY CHILD'S PARTICIPATION IN THIS PROGRAM. THIS INDEMNIFICATION EXPRESSLY INCLUDES ANY CLAIMS ARISING OUT OF RELEASES' OWN NEGLIGENCE OR THAT OF THEIR EMPLOYEES, AGENTS, REPRESENTATIVES, OR VOLUNTEERS. I AGREE THAT THE INDEMNIFICATION INCLUDES THE AMOUNT OF THE CLAIMS, THE EXPENSES OF DEFENDING AGAINST THE CLAIMS, COURT COSTS, AND ATTORNEYS' FEES.
In case of emergency, I understand that every effort will be made to contact me. In the event that I cannot be reached, I hereby give my permission to the physician selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child.

I understand and agree to abide by all rules and regulations of The Pines Catholic Camp while attending this program, and I will comply with all Pines staff instructions. Violation of the rules and regulations is grounds for immediate dismissal without refund, and may subject the violator to prosecution.

The Pines Catholic Camp agrees that it shall not, nor shall it allow its employees, agents, or representatives to take photographic, video, or other digital recordings of camp participants without the express written consent of each participant, his or her parent, or his or her legal guardian, for any purpose other than permitting each participant, his or her parents, and/or his or her legal guardian password-protected electronic access to said recordings. With the exclusive exception of allowing a camper, his or her parents, and/or his or her legal guardian password-protected access to electronically stored photographs of the camper, under no circumstances shall The Pines Catholic Camp, its employees, agents, or representatives make photographic, video, or other digital recordings of camp participants available electronically to others that the camper, his or her parent, or his or her legal guardian, except in response to a specific request accompanied by a fully executed copy of the Video/Image Release located on The Pines' website at http://www.thepines.org.