• This is option is for students 6-12th grade who's parents are Assemblies of God Credentialed Pastors or Missionaries. We receive a grant specific to this, which allows them to be free.

  • This is for Pastor or Missionary students 6-12th grade who's parents are not credentialed with the Assemblies of God. We charge this at-cost to keep it as inexpensive as possible.


Health Information

  • (Asthma, etc...)

  • If yes, they will need to be turned in at registration to be dispensed by the camp nurse.


Medical & Media Release

I assume full liability of hazard and risk for myself (or my child) during this year’s PKMK WKND. I give permission for hospital or medical center staff to administer any necessary treatment immediately to me (or my child) should I (or he/she) be sick or injured during the 2025 PKMK WKND. I do not hold the Alaska Assemblies of God, Little Beaver Camp, nor the churches involved, nor its respective officers and staff responsible for any injury as a result of my (or my child’s) participation in the 2025 PKMK WKND.

We, Participant’s parents and/or legal guardian, hereby grant the Alaska Ministry Network permission to the rights of Participant’s image, likeness, and sound of Participant’s voice as recorded on audio or videotape without payment or any other consideration. We understand that Participant’s image may be edited, copied, exhibited, published, or distributed and we hereby waive the right to inspect or approve the finished product wherein Participant’s likeness appears. Additionally, we waive any right to royalties or other compensation arising or related to the use of the Participant’s image or recording. We agree that the Alaska Ministry Network may use such images of Participant with or without Participant’s name and for any lawful purpose, including for such purposes as publicity, illustration, advertising, and web content. We understand there is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be used and/or distributed. We, the Participant’s parents and/or legal guardian acknowledge that we have completely read and fully understand this release and agree to be bound thereby. It is our express intention to defend, indemnify and hold harmless Alaska Ministry Network from any and all claims arising out of, or resulting from, or in any manner relating to Alaska Ministry Network use of Participant’s image, likeness and sound.

Activities - Parental Consent

IN CONSIDERATION of my children’s participation in the activities listed below on the date and at the location above (herein the “Activity”): We, being the parents or legal guardians of the Participant named above (the "Participant"), do hereby consent to the participation of the Participant in the activities of the 2025 Alaska Youth Ministries PKMK WKND. Activities include camping and walking in which participants may be subject to cold, ice, snow, and other winter conditions. Other activities include Broom Ball and Dodge Ball which may involve being outside in winter conditions as listed above. We hereby represent that Participant is in good health and in proper physical condition to participate in the above-referenced activities. Further, we certify that the Participant is physically able and adequately trained to participate in such events. We hereby understand and acknowledge the physical rigors associated with the above-referenced activities and understand that participation involves risks and dangers which include, without limitation, serious bodily injury, permanent disability, paralysis, death, inaccessibility of medical care, dangers arising from adverse weather conditions, inadequate safety measures, participants of varying skill levels, situations beyond the immediate control of Alaska Youth Ministries Camp, other undefined harm or damage which may not be readily foreseeable, and other presently unknown risks and dangers (collectively the "Risks"). We understand these Risks may be caused in whole or in part by Participant’s own actions or inactions, the actions or inactions of others participating in the activities, and knowing such, We hereby expressly authorize and give permission for Participant to participate in any and all of the above-referenced activities.

General Release & Assumption of Risk

KNOWING THE RISKS DESCRIBED ABOVE, WE BEING THE PARENTS/LEGAL GUARDIANS OF CHILD/PARTICIPANT AGREE, TO ASSUME ALL THE RISKS AND RESPONSIBILITIES, KNOWN AND UNKNOWN, SURROUNDING MY CHILD’S PARTICIPATION IN THE ACTIVITY. TO THE MAXIMUM EXTENT ALLOWED BY LAW, WE RELEASE, HOLD HARMLESS, AND AGREE TO INDEMNIFY ALASKA YOUTH MINISTRIES/ALASKA MINISTRY NETWORK AND THEIR OFFICERS, DIRECTORS, EMPLOYEES, VOLUNTEERS, AND AGENTS, FROM AND AGAINST ANY PRESENT OR FUTURE CLAIMS, LOSSES, LIABILITIES, COSTS AND EXPENSES FOR INJURY TO PERSON OR PROPERTY, OR FOR ANY OTHER DAMAGE, WHICH I MAY SUFFER, OR FOR WHICH I MAY BE LIABLE TO ANY OTHER PERSON, RELATED TO MY PARTICIPATING IN THE ACVITIVITY (INCLUDING PERIODS IN TRANSIT TO OR FROM MY DESTINATIONS), RESULTING FROM ANY CAUSE, INCLUDING BUT NOT LIMITED TO NEGLIGENCE ON MY PART OR ON THE PART OF ANY OF THE RELEASED PARTIES; PROVIDED THAT THIS RELEASE OF LIABILITY SHALL NOT APPLY TO GROSS NEGLIGENCE OR WILLFUL OR WANTON MISCONDUCT.

We hereby warrant that we have read this Agreement carefully, understand its terms and conditions, acknowledge that we are giving up substantial legal rights by signing it, we acknowledge we have signed this Agreement freely and voluntarily, without any inducement, assurance or guarantee. This Agreement represents the complete and entire understanding between the parties regarding these issues and no oral representations, statements or inducements have been made apart from this Agreement. If any provision of this Agreement is held to be unlawful, void, or for any reason unenforceable, then that provision shall be deemed severable from this Agreement and shall not affect the validity and enforceability of any remaining provisions.

We expressly waive any defense to the enforcement of any provision of this commitment arising from a claim of lack of consideration and warrant that this commitment constitutes a legal, valid, and binding obligation upon me enforceable against me in accordance with its terms.

We expressly agree that this assumption of risk, release, and indemnity agreement is intended to be as broad and inclusive as permitted by law. I further state that WE HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND ITS CONTENTS, AND WE VOLUNTARILY SIGN THIS AGREEMENT AS OUR OWN FREE ACT.

We understand and agree that no oral or written representations can or will alter the contents of this document. We agree that this agreement shall be governed by the laws of the State of Missouri, which shall be the forum for any lawsuits filed under or incident to this agreement or the above-described activities.


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