Nature of Risks: I understand that travel to and from Rapid City, may involve certain risks beyond the reasonable control of the Diocese and all parishes within it, and their respective officers, directors, volunteers and agents, and chaperones, including but not limited to accidents, emergencies, exposure to reckless conduct of persons, and/or negligence of the Terra Sancta, and the Diocese of Rapid City is disclaim any and all responsibility for any such risks.
I agree that if I have an illness requiring dismissal from the above named retreat, or there is an accident or emergency requiring my dismissal, or if my participation must be discontinued in event of accident or emergency, I will be sent home at my expense, I assume the risk of any loss of any non-refundable or additional costs associated with travel and fees for the Diocese of Rapid City sponsored event/retreat as listed above with no right of reimbursement or refund for any amount in connection with the Terra Sancta Retreat Center.
The adult participant(s) listed on this form agrees on behalf of myself, my heirs, assigns, executors, and personal representatives, to defend, protect, indemnify and hold harmless the Diocese of Rapid City against and from all claims arising from the negligence or fault of the aforementioned adult participant(s) which arise out of participating in the aforementioned event/retreat at Terra Sancta. Additionally, the aforementioned adult participant(s) agrees to protect, defend, hold harmless and fully indemnify the Diocese of Rapid City and Terra Sancta for any claim or cause of action whatsoever arising out of participating in a retreat at Terra Sancta that is brought against the Diocese of Rapid City by the aforementioned adult participant or their family members whether such claim arises from the alleged negligence of the Diocese of Rapid City, its employees or agents or the aforementioned adult participant’s negligence. If any portion of this agreement is held invalid, it is agreed that the balance thereof, shall continue in full legal force and effect.
Without compensation and as an adult participant(s), I/we hereby grant permission to the Diocese of Rapid City to use and reproduce photographs/videos taken of me. These photographs/videos may be used for news, editorial or promotional purposes in publications, electronic reproductions, and/or brochures. I/we hereby release the photographer/videographer, the journalists, and the publications or media outlets they represent, as well as the Diocese of Rapid City, from all claims and liability relating to said photographs/videos.