Adult Registration for Beaver Creek Youth Camp
Family/Grand Camp - 2018

This form should be completed by Parents, Grandparents, or Guardians who will be accompaning children at Beaver Creek Youth Camp's Family/Grand Camp. A seperate registration must be submitted for each adult and child.

Please note that most fields on this form are required. Enter "none" or "na" if not applicable.

   


   

                    


       


        

Children who will be attending camp with you:
Please note: A "Youth" registration must also be submitted for each of these.
     First & Last Name                    Age      Relationship to you
1.        
2.        
3.        
4.        

Other adults who will be attending camp with you:
Please note: An "Adult" registration must also be submitted for each of these.
     First & Last Name                     Relationship to you
1.    
2.    
3.    

The safety and well being of everyone, and especially the children, at Beaver Creek Youth Camp is important. Have you ever been convicted of or pled guilty of a crime, either misdemeanor or a felony (including but not limited to drug related charges, child abuse, unlawful sexual abuse, or other crimes of violence, or theft)?

   If yes, please explain:

WAIVER AND CONSENT:

I , hereby certify that the information I have provided on this registration form is true and correct. I authorize Beaver Creek Youth Camp (BCYC) to verify the information I have provided on this form by conducting a criminal records check and/or by other means.

Emergency, Liability, Conduct, Photo Release and Signature

By checking here you indicate you have read and understand Beaver Creek's Adult Emergency, Liability, Conduct & Photo Release statement posted on line.

SIGNATURE (by entering your name and the date below you are electronically signing a legal document):
   

Clicking "Submit" sends this form to Beaver Creek Youth Camp    Clicking "Reset" clears all entries on this form