I hereby promise to conduct myself in a responsible manner and abide by DeMolay rules and regulations and the rules and regulations of this DeMolay event. I will be subject to being dismissed from the event and sent home at my own expense if I do not abide by this promise. I shall indemnify and hold DeMolay International, The International Supreme Council of the Order of DeMolay, and all Affiliated Organizations harmless from and against all penalties, losses, costs, damages, suits, judgments, claims, demands, expenses and liabilities of any kind or nature whatsoever, arising directly or indirectly out of or in connections with my attendance at the DeMolay event.

I, the undersigned Parent/Legal Guardian of the above identified participant, do hereby give my consent and permission for them to participate in all activities and events conducted by Connecticut DeMolay. I agree to release and hold harmless members, advisors, and officers of DeMolay International, from all claims or cause of actions, which the undersigned has or may have. In the event of injury or illness to the above named participant, I hereby authorize any Advisor in attendance to secure, and any healthcare provider in attendance to provide such emergency treatment as may be deemed necessary by those present including but not limited to hospitalization, medication administration, diagnostic radiology and procedures, surgery, and blood transfusions. I understand reasonable efforts will be made to contact me prior to medical treatments.

I hereby assign and grant to DeMolay International the right and permission to use and publish the photographs/film/videotapes/electronic representations and/or sound recordings made of me this date by DeMolay International, and I hereby release DeMolay International from any and all liability from such use and publication. I hereby authorize the reproduction, sale, copyright, exhibit, broadcast, electronic storage and/or distribution of said photographs/film/videotapes/electronic representations and/or sound recordings without limitation at the discretion of DeMolay International and I specifically waive any right to any compensation I may have for any of the foregoing.

Here is the schedule of activities please check off the boxes you are interested in assisting with or attending.

Here is the schedule of activities please check off the boxes you are interested in assisting with or attending.