Youth Ski Retreat Feb 14-17 - Silverdale Lutheran Church

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

Include best contact number

Emergency Contact*

First Last

Phone*

What is your Skiing/Snowboarding experience?*

Very experienced
Some experience
No Experience

Do you have your own gear or need help with rental?*

Geared up, good to go.
Need help with rental

Are you a skier or snowboarder?*

Skier
Snowboarder

Do you need lessons?*

Yes
No

Insurance Provider & Policy Number*

Please provide insurance provider and input insurance policy number.

Copy of Insurance cards (jpg,gif,png,pdf)

Max. file size: 100 MB.

Please email PJ if you are unable to upload your insurance information at this time. [email protected]

Special Notes or Accommodations (medications, allergies, restrictions)

Please list if there is anything you think we should be aware of or necessary to know.

Consent & Hold Harmless*

I agree to the privacy policy.

I understand that the Winter Retreat includes physical, outdoor events, and has inherent—foreseen and unforeseen—dangers. Nevertheless, I freely assume all risks arising out of this event and I agree on behalf of myself, my child(ren) named above, or our heirs, successors, and assigns to hold harmless and defend the organizers of the Fall Retreat, the chaperones, coordinators, or representatives associated with the event, from any claim arising from or in connection with us attending the event or in connection with any illness or injury (including death) or costs of related medical treatment.

Payment and Conduct Policy*

I agree to the payment and conduct policy

Anyone is welcome at the retreat. Cost is $160 and covers lodging, travel and food. Costs for lift tickets, lessons and rentals will vary. We understand there are rules and covenant code of conduct: 1) I intend to participate in all planned activities 2) I will respect other participants in this event and treat them as fellow members of the Body of Christ 3) I will respect the property of others 4) I will respect and appreciate the different gifts, cultures, and perspectives encountered in this experience 5) I will not abuse my body with tobacco, drugs, or alcohol at any time or have possession of these substances. Your name above constitutes your signature and acceptance of the above written statements.

Phone

This field is for validation purposes and should be left unchanged.

Youth Winter Retreat 2025