Medical Release Form 2018-2019
Frontline Blast 2018
January 12th - 15th 2018
- Kalahari indoor water park and theme park - Skiing and snowboarding at Cascade Mountain - Worship with over 1000 students - Engaging messages & small group times Join over 1000 students at the Kalahari in Wisconsin Dells, WI for Blast 2018! Spend your days with full access to the Kalahari indoor water park and theme park (theme park additional cost). Take a day trip to Cascade Mountain for skiing and snowboarding. Then join in worship and hear engaging messages each night. Get to know other Frontline students and leaders as we stay in our own area of the Kalahari and spend small group time together after each message. Have a great time with friends and experience God!
Packages
$292 Ski/Snowboard
WITH RENTAL EQUIPMENT | Ski and Snowboard option | Swap out anytime (no fee)
$262 Ski/Snowboard
WITH PERSONAL EQUIPMENT
$215 Waterpark Only
| Bring money for two fast food meals. All other meals are provided. | Optional $10 indoor theme park pass available for purchase upon arrival (limited quantity) | Optional $10 group ski lesson / $8 helmet rental (recommended for 1st timers) | To accommodate guys/girls in separate rooms, it might be necessary for a student to sleep on the floor one of the three nights | All packages include water park
Payment and Forms | $80 non-refundable deposit due 12/6/2017
| Parental consent form
| Full payment and forms due 1/3/2018
| Medical release form
| Payable to Living Hope Church
| Cascade Mountain form (if applicable)
(Need based scholarships are available upon application and approval) Sign up online at livinghope.us/blast18
What to bring | Money for 2 fast food meals (No dinner on Friday, come well fed)
| Warm Clothes
| Bible
| Swimwear (Girls: One piece, Tankini, or dark shirt over two piece)
| Toiletries
| Snow gear (Gloves/Hat/Etc.)
| Medication (Name/Info/Ziploc bag)
| Snowboard/Skis (If not renting)
Schedule Drop off : Friday, Jan. 12th at 5:00pm
Pick up : Monday, Jan. 15th at 5:30pm
(Meet at Living Hope Church and check in your student before you leave) FRIDAY 5-5:30pm 6pm 9pm 10:30pm 12am 1am
SATURDAY 8am 8:15am 9am 12pm 1pm 5pm 6pm 7pm 9pm 10:30pm 12:30am
SUNDAY Loading 8am Leave | Church [No Dinner Stop] 10am Arrive | Kalahari 11:30am Main Session 1 12:30pm Small Group 1:30pm Lights Out 5pm 7pm 9pm Breakfast/Encounter Time 10pm Leave for Cascade 12:30am Ski/Snow/Water [3hrs] Lunch [1pm Ski Lunch] MONDAY Ski/Snow/Water [4hrs] 9am Leave Mountain 10am Eat Dinner 1pm Main Session 2 2pm Small Group 2:30pm Late Night Water Park 5:30pm Lights Out
Breakfast/Encounter Time Main Session 3 Small Group Lunch Waterpark [4hrs] Go Out to Dinner Main Session 4 Small Group Late Night Theme Park Lights Out Breakfast/Pack Up Waterpark [3hrs] Go Out to Lunch Loading Leave | Kalahari Arrive | Church
Location MOUNTAIN Cascade Mountain Ski Area W10441 Cascade Mountain Road Portage, WI 53901 cascademountain.com
Emergency Contact Keegan Walsh (Student Pastor) Phone : 913-710-5428
LODGING/WATERPARK Kalahari Resort 1305 Kalahari Drive Wisconsin Dells, WI 53965 kalahariresorts.com
PARENTAL CONSENT FORM Living Hope Church I, (parent) _________________________ give my consent for (student) ___________________ to attend the FRONTLINE BLAST 2018 (trip)________________________________________at KALAHARI/CASCADE MTN WIS DELLS, WI/PORTAGE, WI (location)______________________ in (city)________________________. 215/262/292 . The cost of this trip is $_________ In the event of an emergency, I hereby authorize the Living Hope Church leadership to approve any immediately necessary medical care for my student. I also understand that students will be transported via (vehicle VAN/CAR type)________________.
Name of Participant/Minor ___________________________________ Your relationship to Minor ___________________________________ Phone:
______________________
Address:
______________________
Family Physician:
______________________
Special medical allergies, chronic illnesses or other conditions: ______________ ________________________________________________________________ Other contact in case of emergency: ___________________________________ This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence. Signed ___________________________________ Father/Mother/Legal Guardian
Date:______________
777 Meacham Road | Elk Grove Village, IL 60007 | Phone (847) 985-6446
2018-2019 FAMILY MINISTRY MEDICAL RELEASE Form
Cascade Mountain Release of Liability - Parental Permission Agreement 2017-2018 This form is required for all minors unaccompanied by a parent or legal guardian who is renting equipment.
NAME________________________________________
PHONE (_______)_________-______________
Living Hope Church GROUP NAME_________________________________
01/12/18 - 01/15/18 TRIP DATES____________________________
A. RELEASE OF LIABILITY: I, the undersigned, in consideration of the rental of the skiing/snowboarding equipment to my child by Cascade Mountain, here by release and fully discharge Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, their owners, agents an d employees from any and all liability for personal injury to my child which is caused in any way by the negligent acts or omissions of Cascade Mountain, Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, their owners, agents, or employees (collectively the “Cascade Mountain Releasees”) in the installation, adjustment, inspection, maintenance and/or rental of the equipment and/or in the instruction s given or not given to my child concerning the equipment and its use and/or in any way arising from the use of rental of this equipment. I accept for myself and on behalf of my child full responsibility for any personal injury of any kind which may result from the use of the ski/snowboard equipment by my child, and it is my intention to HOLD HARMLESS Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC and their owners, agents and employees for any injuries sustained to my child while using the above described equipment. I agree not to bring any action or lawsuit against the CASCADE MOUNTAIN RELEASEES for any personal injury caused by the NEGLIGENCE of any CASCADE MOUNTAIN RELEASEE. I understand that for a fee of $40.00 in addition to the normal entry fee, Cascade Mountain offers an optional Agreement that does not require me to sign a release of liability. In signing this Release of Liability, I acknowledge I am aware of this option offered by Cascade Mount ain and hereby waive my right to purchase the same. I have carefully read this Release of Liability and Parental Permission Agreement and fully understand its contents. This document constitutes the final and entire agreement between Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC and the undersigned. I am aware that by signing this document, I am WAIVING certain legal rights of myself and my child, including the right to sue Cascade Mountain Management Corporation or Cascade Mountain Land Holdings LLC for negligent acts or omissions. I am aware this Release of Liability-Parental Permission Agreement is a contract between my child, myself and Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, and I sign it of my own free will. B. PARENTAL PERMISSION AGREEMENT: I UNDERSTAND that my child will be renting equipment at Cascade Mountain on the above date(s) and hereby give permission for him/her to rent skiing/snowboarding equipment. I UNDERSTAND and am aware that skiing/snowboarding involves certain inherent risks, dangers and hazards which c an result in serious personal injury or death and that personal injuries are a common and ordinary occurrence in the sport. I hereby agree to freely and expressly as sume any and all risks of injury or death to my child while using the equipment while skiing/snowboarding. I UNDERSTAND that the ski equipment being furnished forms part of a ski-boot-binding system which will NOT RELEASE at all times or under all circumstances and that it is not possible to predict every situation in which it will or will not release and that its use cannot guarantee my child’s safety or freedom from injury while skiing. I further understand and agree that the ski-boot-binding system may reduce, but does NOT ELIMINATE, the risk of injury to the lower portion of my child’s leg or any other parts of my child’s body. I further understand that the boot-binding system will not reduce at all the risk of injury to my child’s knee and that the boot-binding system will not release in the event of a backward fall. I UNDERSTAND that the snowboard boot-binding system WILL NOT ORDINARILY RELEASE during use, nor is it specifically designed or intended to release as a result of forces during ordinary operation, and it is therefore absolutely NO GUARANTEE OF MY CHILD’S SAFETY. I UNDERSTAND that I am responsible for any damage to the equipment while in my child’s possession. This includes, but is not limited to theft or loss. I FURTHER UNDERSTAND this equipment is not to leave Cascade Mountain property, and this agreement is for dates listed above only and the equipment is to be returned at the end of each session to avoid additional charges. CAUTION: READ BEFORE SIGNING! THIS DOCUMENT AFFECTS YOUR AND YOUR CHILD’S LEGAL RIGHTSAND WILL BAR YOUR AND YOUR CHILD’S RIGHT TO SUE! Parent’s Signature_________________________
Date_________________________
Parent’s Signature_________________________
Date_________________________
User’s Signature__________________________
Date_________________________
Age _____
Street____________________________________
City__________________________
State _____
Zip _________________
January 12th - 15th 2018
- Kalahari indoor water park and theme park - Skiing and snowboarding at Cascade Mountain - Worship with over 1000 students - Engaging messages & small group times Join over 1000 students at the Kalahari in Wisconsin Dells, WI for Blast 2018! Spend your days with full access to the Kalahari indoor water park and theme park (theme park additional cost). Take a day trip to Cascade Mountain for skiing and snowboarding. Then join in worship and hear engaging messages each night. Get to know other Frontline students and leaders as we stay in our own area of the Kalahari and spend small group time together after each message. Have a great time with friends and experience God!
Packages
$292 Ski/Snowboard
WITH RENTAL EQUIPMENT | Ski and Snowboard option | Swap out anytime (no fee)
$262 Ski/Snowboard
WITH PERSONAL EQUIPMENT
$215 Waterpark Only
| Bring money for two fast food meals. All other meals are provided. | Optional $10 indoor theme park pass available for purchase upon arrival (limited quantity) | Optional $10 group ski lesson / $8 helmet rental (recommended for 1st timers) | To accommodate guys/girls in separate rooms, it might be necessary for a student to sleep on the floor one of the three nights | All packages include water park
Payment and Forms | $80 non-refundable deposit due 12/6/2017
| Parental consent form
| Full payment and forms due 1/3/2018
| Medical release form
| Payable to Living Hope Church
| Cascade Mountain form (if applicable)
(Need based scholarships are available upon application and approval) Sign up online at livinghope.us/blast18
What to bring | Money for 2 fast food meals (No dinner on Friday, come well fed)
| Warm Clothes
| Bible
| Swimwear (Girls: One piece, Tankini, or dark shirt over two piece)
| Toiletries
| Snow gear (Gloves/Hat/Etc.)
| Medication (Name/Info/Ziploc bag)
| Snowboard/Skis (If not renting)
Schedule Drop off : Friday, Jan. 12th at 5:00pm
Pick up : Monday, Jan. 15th at 5:30pm
(Meet at Living Hope Church and check in your student before you leave) FRIDAY 5-5:30pm 6pm 9pm 10:30pm 12am 1am
SATURDAY 8am 8:15am 9am 12pm 1pm 5pm 6pm 7pm 9pm 10:30pm 12:30am
SUNDAY Loading 8am Leave | Church [No Dinner Stop] 10am Arrive | Kalahari 11:30am Main Session 1 12:30pm Small Group 1:30pm Lights Out 5pm 7pm 9pm Breakfast/Encounter Time 10pm Leave for Cascade 12:30am Ski/Snow/Water [3hrs] Lunch [1pm Ski Lunch] MONDAY Ski/Snow/Water [4hrs] 9am Leave Mountain 10am Eat Dinner 1pm Main Session 2 2pm Small Group 2:30pm Late Night Water Park 5:30pm Lights Out
Breakfast/Encounter Time Main Session 3 Small Group Lunch Waterpark [4hrs] Go Out to Dinner Main Session 4 Small Group Late Night Theme Park Lights Out Breakfast/Pack Up Waterpark [3hrs] Go Out to Lunch Loading Leave | Kalahari Arrive | Church
Location MOUNTAIN Cascade Mountain Ski Area W10441 Cascade Mountain Road Portage, WI 53901 cascademountain.com
Emergency Contact Keegan Walsh (Student Pastor) Phone : 913-710-5428
LODGING/WATERPARK Kalahari Resort 1305 Kalahari Drive Wisconsin Dells, WI 53965 kalahariresorts.com
PARENTAL CONSENT FORM Living Hope Church I, (parent) _________________________ give my consent for (student) ___________________ to attend the FRONTLINE BLAST 2018 (trip)________________________________________at KALAHARI/CASCADE MTN WIS DELLS, WI/PORTAGE, WI (location)______________________ in (city)________________________. 215/262/292 . The cost of this trip is $_________ In the event of an emergency, I hereby authorize the Living Hope Church leadership to approve any immediately necessary medical care for my student. I also understand that students will be transported via (vehicle VAN/CAR type)________________.
Name of Participant/Minor ___________________________________ Your relationship to Minor ___________________________________ Phone:
______________________
Address:
______________________
Family Physician:
______________________
Special medical allergies, chronic illnesses or other conditions: ______________ ________________________________________________________________ Other contact in case of emergency: ___________________________________ This release form is completed and signed of my own free will with the sole purpose of authorizing medical treatment under emergency circumstances in my absence. Signed ___________________________________ Father/Mother/Legal Guardian
Date:______________
777 Meacham Road | Elk Grove Village, IL 60007 | Phone (847) 985-6446
2018-2019 FAMILY MINISTRY MEDICAL RELEASE Form
Cascade Mountain Release of Liability - Parental Permission Agreement 2017-2018 This form is required for all minors unaccompanied by a parent or legal guardian who is renting equipment.
NAME________________________________________
PHONE (_______)_________-______________
Living Hope Church GROUP NAME_________________________________
01/12/18 - 01/15/18 TRIP DATES____________________________
A. RELEASE OF LIABILITY: I, the undersigned, in consideration of the rental of the skiing/snowboarding equipment to my child by Cascade Mountain, here by release and fully discharge Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, their owners, agents an d employees from any and all liability for personal injury to my child which is caused in any way by the negligent acts or omissions of Cascade Mountain, Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, their owners, agents, or employees (collectively the “Cascade Mountain Releasees”) in the installation, adjustment, inspection, maintenance and/or rental of the equipment and/or in the instruction s given or not given to my child concerning the equipment and its use and/or in any way arising from the use of rental of this equipment. I accept for myself and on behalf of my child full responsibility for any personal injury of any kind which may result from the use of the ski/snowboard equipment by my child, and it is my intention to HOLD HARMLESS Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC and their owners, agents and employees for any injuries sustained to my child while using the above described equipment. I agree not to bring any action or lawsuit against the CASCADE MOUNTAIN RELEASEES for any personal injury caused by the NEGLIGENCE of any CASCADE MOUNTAIN RELEASEE. I understand that for a fee of $40.00 in addition to the normal entry fee, Cascade Mountain offers an optional Agreement that does not require me to sign a release of liability. In signing this Release of Liability, I acknowledge I am aware of this option offered by Cascade Mount ain and hereby waive my right to purchase the same. I have carefully read this Release of Liability and Parental Permission Agreement and fully understand its contents. This document constitutes the final and entire agreement between Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC and the undersigned. I am aware that by signing this document, I am WAIVING certain legal rights of myself and my child, including the right to sue Cascade Mountain Management Corporation or Cascade Mountain Land Holdings LLC for negligent acts or omissions. I am aware this Release of Liability-Parental Permission Agreement is a contract between my child, myself and Cascade Mountain Management Corporation, Cascade Mountain Land Holdings LLC, and I sign it of my own free will. B. PARENTAL PERMISSION AGREEMENT: I UNDERSTAND that my child will be renting equipment at Cascade Mountain on the above date(s) and hereby give permission for him/her to rent skiing/snowboarding equipment. I UNDERSTAND and am aware that skiing/snowboarding involves certain inherent risks, dangers and hazards which c an result in serious personal injury or death and that personal injuries are a common and ordinary occurrence in the sport. I hereby agree to freely and expressly as sume any and all risks of injury or death to my child while using the equipment while skiing/snowboarding. I UNDERSTAND that the ski equipment being furnished forms part of a ski-boot-binding system which will NOT RELEASE at all times or under all circumstances and that it is not possible to predict every situation in which it will or will not release and that its use cannot guarantee my child’s safety or freedom from injury while skiing. I further understand and agree that the ski-boot-binding system may reduce, but does NOT ELIMINATE, the risk of injury to the lower portion of my child’s leg or any other parts of my child’s body. I further understand that the boot-binding system will not reduce at all the risk of injury to my child’s knee and that the boot-binding system will not release in the event of a backward fall. I UNDERSTAND that the snowboard boot-binding system WILL NOT ORDINARILY RELEASE during use, nor is it specifically designed or intended to release as a result of forces during ordinary operation, and it is therefore absolutely NO GUARANTEE OF MY CHILD’S SAFETY. I UNDERSTAND that I am responsible for any damage to the equipment while in my child’s possession. This includes, but is not limited to theft or loss. I FURTHER UNDERSTAND this equipment is not to leave Cascade Mountain property, and this agreement is for dates listed above only and the equipment is to be returned at the end of each session to avoid additional charges. CAUTION: READ BEFORE SIGNING! THIS DOCUMENT AFFECTS YOUR AND YOUR CHILD’S LEGAL RIGHTSAND WILL BAR YOUR AND YOUR CHILD’S RIGHT TO SUE! Parent’s Signature_________________________
Date_________________________
Parent’s Signature_________________________
Date_________________________
User’s Signature__________________________
Date_________________________
Age _____
Street____________________________________
City__________________________
State _____
Zip _________________
