Student One Night Registration: 10/14/20

October 14 @6:30pm | Please fill out this form and click submit.


A lot has been canceled in 2020, and we are feeling more isolated than ever, so we are hosting an event with other youth groups in our community called ONE NIGHT!


This is going to be ONE NIGHT where student 6th -12th grade get to come together to be encouraged, praise Jesus with a live band from Chi Alpha, enjoy Chick-Fil-A, s'mores, music, coffee, hot chocolate, games, and more with other awesome teens who love Jesus. 

October 14th @ 6:30pm at Rock AG Church, Thornton, CO



BRING YOUR FRIENDS!!!!
 
Student Participant Info

 
 
 
Emergency Contact

 
 













Rock AG Church Activity Agreement

Name of Sponsoring Ministry @ Rock AG Church Students

Activity Sponsor: Pastors Austin & Brook jackson


Activity: An evening event at Rock AG Church including various activities such as, but not limited to: running, jumping, eating, and more.


Activity Agreement: I acknowledge that participation in the activity described above involves risk to the Participant (and to Participant’s parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to, the following: sickness, bodily injury, death, emotional injury, personal injury, property damage and financial damage. In consideration for the opportunity to participate in the activity described above (the “Activity”), the Participant (or parent/guardian if Participant is a minor) acknowledges and accepts the risks of injury associated with participation in and transportation to and from the Activity. The Participant (or parent/guardian) accepts personal financial responsibility for any injury or other loss sustained during the Activity or during transportation to and from the activity, as well as for any medical treatment rendered to the Participant that is authorized by the Sponsor or its agents, employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Activity Sponsor”). Further, the Participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the Activity Sponsor for any injury arising directly or indirectly out of the described Activity or transportation to and from the Activity, whether such injury arises out of the negligence of the Activity Sponsor, the Participant, or otherwise. The Participant (or parent/guardian) gives permission for the Activity Sponsor to use and publish photos of the participant from this activity including but not limited to online, and in print. If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Activity Sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution pursuant to the rules of the American Arbitration Association.


Photo Release: I, hereby grant, voluntarily and with full understanding, to Rock AG Church, a license to the following: 1. Use and storage of my name and image, by means of digital or film photography, video photography, audio recording or other

documentation, with respect to the activities of Rock AG Church. 2. Use of any stored data including my name and image in printed publications of Church. 3. Use of any stored data including my name and image in any website created by or for Church for its sole benefit. 4. If I am signing this agreement on behalf of a minor child, I hereby warrant that I am the legal parent or guardian of the child and that I have the legal authority to sign this agreement on behalf of the child. 5. If a dispute over this agreement or any claim for damages arises, I agree to resolve the matter through a mutually acceptable alternative dispute resolution process. If I cannot agree with Church upon such a process, the dispute will be submitted to a three-member arbitration panel of the American Arbitration Association for final resolution. 



The guardian signing this agreement is agreeing to the terms above, that he or she is over 18, that he or she is authorized to legally sign this agreement on behlaf of the minor and that the acitivity sponsor is authorzied to provide medical treatment if neccessary.


 
 
 
 
 
 

Description

October 14 @6:30pm
Please fill out this form and click submit.