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Veritas Students 2018 6th-8th Grade Winter Retreat - Sundown Mountain - 1/20/18
The Trip
All current 6th-8th Grade Students, their parents, and siblings are welcome to join us for our 2018 6th-8th Grade Winter Retreat to Sundown Mountain! We will be gathering at Veritas Church at 7:30A Saturday January 20th and head to Sundown Mountain. The total trip cost is $75, all checks should be payable to Veritas Church. Payment is due to Sam Anderson by 1/3/18. If you are bringing your own equipment (skis/snowboard, boots, helmet-required, poles, etc.) the trip cost is $50. More details about the trip can be found below.

Saturday, January 20th
7:30A - Meet at Veritas Church. Please eat before you come.
8:00A - Leave Veritas Church
9:30A - Arrive at Sundown Mountain Ski Resort
9:30-10:30A - Check in and get rentals
10:30A-12:00P - Enjoy the mountain
12:00P - Lunch - bring your own meal or money to purchase food
12:30-3:30P - Enjoy the mountain
3:30P - Meet at "base camp" to return rental gear and pack up
4:00P - Leave for home
5:30P - Estimated time of arrival back at Veritas Church

Packing list:
-Any gear you aren't renting - HELMET IS REQUIRED
-Money for lunch/snacks/souvenirs

Students are expected to ski with a partner and to never be alone. All students must check in at "base camp" at lunch time.

Proper gear and attire must be worn at all times. Helmets are required to be worn at all times. Gear rental includes helmet, boots, and skis/snowboard (just in case you were wondering...HELMETS MUST BE WORN AT ALL TIMES!).

If you are unable to pay the amount necessary please contact Sam Anderson (319.721.2179 or for help, your information will be kept confidential. If you would like to help someone come who can't afford it, please contact Sam as well.

Please fill out this form for each participant.


Participants Name *
Your answer
Parental Contact Information *
Please include names, emails, phone numbers, and a primary physical address
Your answer
Travel Arrangements *
Liability Release
Please read the following statements and type your signature at the end. Participants under the age of 18 may not sign, a parent or legal guardian must sign below.
For participation in all of the functions, activities, events or otherwise during the date of, Saturday, January 20th, 2018, during travel, at Sundown Mountain Ski Resort, or any other location we are during the course of the day, I do for ourselves (myself and on behalf of my child-participant) hereby release, forever discharge and agree to hold harmless the organizers, and church sponsors from any and all liability, claims, or demands for personal injury, sickness or death, as well as property damage and expenses, or any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the activities and functions of the above mentioned retreat. We (I) on behalf of my child-participant hereby assume all risk or personal injury, sickness, death, damage and expense as a result of participation in recreation and other activities involved therein. We are (I am) the parent(s) or legal guardian(s) of this participant, and hereby grant our (my) permission for him/her to participate fully in said retreat and hereby give our (my) permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility for all medical bills, if any. Further, should it be necessary for said participant to return home due to medical reasons, disciplinary action or otherwise, we (I) hereby assume all transportation costs. Please sign below. I understand that typing below constitutes a legal signature confirming that I acknowledge and agree to the above. *
Your answer
Student Commitment
I agree to abide by the retreat policies and rules of conduct for participating at this retreat. I agree to respect the authority of the leaders in charge. I understand that one instance relating to behavior in an unacceptable way can warrant an automatic call to my parents and/ or a trip home. The participant must enter their name having read and understood this statement. *
Your answer
Insurance Information
This information will be used if there are any medical situations. If someone is injured you will be notified once the situation is under control. This information will be given to the hospital so they can begin any necessary process.
If you have no information for the box please write "none."
List any and all current medications *
Your answer
Allergies? Food and Medication *
Your answer
Medical Information/Comments *
Your answer
Insurance Company and Policy Information *
List Insurance Provider
Your answer
Insurance Company and Policy Information *
Please provide the PLAN and GROUP Information for your insurance provider.
Your answer
Emergency Contact Information. Please submit at least two contact's phone numbers. *
Your answer
The total trip cost is $75, all checks should be payable to Veritas Church. Payment is due to Sam Anderson by 1/3/18. If you are bringing your own equipment (skis/snowboard, boots, helmet-required, poles, etc.) the trip cost is $50.
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