2025 High Altitude

February 21-23, 2024 | DROP OFF/CHECK IN: 4:30pm Friday, February 21
RETURN: 2:00pm Sunday, February 23

Registration/drop off will be at Authentic Life Church
6500 W Coal Mine Ave.
Littleton, CO 80123

Email Mark with any questions:
mark@authenticlifechurch.com

We are so EXCITED to have you join us for the best weekend of the year!
Registration

 
Please select one option.
Please select all that apply.
 
 
 
 
 
 
If you have agreed on a scholarship amount with Mark, you will need to type in the ammount that you agreed on paying in the section right below.
 
MEDICAL HISTORY

Please Note: If your child should require medical attention for injuries received or illnesses contracted prior to any activities, please send us the necessary information to give him/her proper medical care during his/her time with Authentic Life’s activities.

 
 
 
 
 
 
 
 
WAIVER

I acknowledge that my child’s participation in Authentic Life’s activities are voluntary and may require involvement in activities that require traveling or physical exertion. Such activities may include, but are not limited to, camps, athletic games, excursions, missions’ trips and meetings. We acknowledge that our child’s participation in any ALC activity presents risk that my child may suffer property damage, bodily injury, or death.


Therefore, in consideration of my child’s participation in the ALC Ministry program activities, we agree to the following: (please initial)

ALC is not responsible for personal belongings.

Students are required to wear seat belts & keep them on while en-route riding in church provided transportation other than rental buses.       

Inappropriate conduct will result in transportation home at parents’ expense

I hereby take the following action for my child, myself, my executors, administrators, heirs, next of kin, successors and assigns: A) I waive, release, and Discharge from any and all claims or liabilities for death or personal injury damages of any kind, which arise out of or relate to my child’s participation in ALC Ministry activities, the following person or entities: ALCC, it’s Senior Pastor, Associate Pastors, Program Staff, Elders, Employees, volunteers, representatives, subcontractors and agents of any of the above. B) I agree not to sue any of the persons or entities mentioned above for any of the claims or liabilities that I have waived, released or discharged herein; and C) I Indemnify and hold Harmless the person or entities mentioned above from any claims made or liabilities assessed against them as a result of my child’s actions. I hereby assume all risk of my child participating in all ALC’s Ministry Activities.


I hereby authorize any licensed physician, emergency medical technician, hospital or other medical or health care facility to treat the minor named herein for the purpose of attempting to treat or relieve any injury received by said minor. I authorize any such Medical Provider to perform all procedures deemed medically advisable in attempting to treat or relieve any such injuries. I consent to the administration of anesthesia as deemed advisable. I realize and appreciate that there is a possibility of complications and unforeseen consequences in any medical treatment, and I assume any such risk for and on behalf of myself and said minor. I further agree to pay all charges for the dental, medical, or hospital care or treatment.


Rules of Behavior expected from each student:

Failure to comply with these expectations could result in your child being sent home at your expense.


1.Particiaption with the group 2. No guys in girls’ sleeping quarters (vice versa). 3. Respect one another, staff and adult leaders. 4. Respect property. 5. Respect and comply with event schedules. 6. No students permitted to drive for events without special parental permission. 7. No offensive or immodest clothing. 8. No fighting, weapons, fireworks, explosives or lighters permitted. 


My child has permission to attend all church sponsored activities. Note: If you desire to limit your child’s participation in any event, please put your restrictions in writing to ALC in advance of that event.

Please select all that apply.
PHOTOS

I consent to have photographs taken of my student during the ALC trips and activities.

The pictures may be used on the ALC’s Web Page, in future brochures, or in slide shows after the event.
Please select all that apply.
Insurance

 
 
 
PAYMENT

 
 
 
 
 

Description

February 21-23, 2024
DROP OFF/CHECK IN: 4:30pm Friday, February 21
RETURN: 2:00pm Sunday, February 23

Registration/drop off will be at Authentic Life Church
6500 W Coal Mine Ave.
Littleton, CO 80123

Email Mark with any questions:
mark@authenticlifechurch.com

We are so EXCITED to have you join us for the best weekend of the year!