We will be taking pictures during camp activities to keep the good memories. Please mark the checkbox as a permission for the photos of your camper. Parents will receive a link to download the camp pictures.

• Fill out health and rope course forms on Camp Copass website (link here)  (you will need to create a parent account there)
• Check the box that health and rope course on Camp Copass website are filled out.

Presented by the Russian Orthodox Church Outside Russia – Diocese of Chicago and Mid-America

Completion of this form by a parent or legal guardian is a mandatory prerequisite for the attendance of any camper under the age of 18.

I, the parent of above-mentioned child, authorize my child to participate in the St. Jonah Camp 2026. In consideration of the attendance of my child at the above named activity by the Diocese of Chicago and Mid-America, and for allowing my child to participate in this activity, I do hereby release and discharge the Diocese of Chicago and Mid-America, and all of its Pastors and adult leaders acting officially or otherwise from any and all claims, demands, actions, or causes of action on account of any injury sustained by my child during said above named activity. I hereby authorize any Pastor or adult leaders of the Diocese of Chicago and Mid-America to obtain emergency medical treatment for my child at any time during the above named activity. I understand that an attempt will be made to notify the parents first. If the parents are not available, however, the youth will be taken to the emergency room at the nearest hospital as circumstances may warrant. If any conduct of the participant warrants them to be excused from participation in the event, I assume all responsibility for disciplinary action and picking up my child upon being notified by the Pastor/adult leader. Should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I hereby assume all transportation costs.

I, the undersigned, hereby acknowledge that I have read the foregoing, understand its contents, and have signed the same as my own free act and deed.

05/13/2026