Yellowstone Bible Camp

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    Application for Elementary Camp
    ​July 7th - 13th, 2019

    This camp session is designed for young children in Grades 4th - 6th (​"Grade" is defined as the grade to be entered next.)

    Campers Personal Information

    Grade - Means the grade to be entered next
    Include Area Code
    Include Area Code

    In Case of Emergency Please Contact:


    Camper's Health/Medical Information

    For the safety and well-being of the youth, an applicant will not be permitted to attend until this form is fully completed and signed by the camper’s parent/guardian. To register on arrival without a parent, you must bring this form, fully completed and signed by parent or guardian. THIS INCLUDES TEENS ALSO. Any medication sent to the camp must be in its original container. Please print instructions on a 3x5” card and place with the medication in a zip-lock bag. Upon arrival at camp, all medications will be collected by the staff medic, who will dispense it to the camper as per the instructions.                                  ​

    Camper's Health History

    Immunization History (Please give dates for all that apply, put NONE if they do not apply).
              ALLERGIES                                                                                      HEALTH CONCERNS
    Examples; Wheelchair, Brace, Glasses or other.
    Immediately upon arrivial please notify camp manager if youth has recently been exposed to a communicale disease.

                                                                                                PARENTAL STATEMENT
         To the best of my knowledge this information is accurate and complete. I give my permission for my child to participate fully in YBC activities, subject to limits described herein.  In the event of accident or illness in the course of such activity I request that measures be taken without delay as judgment of medical personnel dictates. YBC will not be held responsible for bodily injury, death, or loss of personal property, except to the extent due to the negligence of YBC. I have read, understand, and accept the terms and conditions stated herein and acknowledge that this agreement shall be effective and binding upon the parties during the entire period of attendance at YBC. In case of evacuation due to natural disaster, I agree to immediately pick up (or make arrangements for the pickup of) my child/children at the Livingston church of Christ building or other stated location when notified to do so.       
         My child and I have fully read the Standards of Conduct located in tne YBC Newsletter or YBC web-site, and he/she will comply with all standards. In addition my signature agrees and grants full right to use the images resulting fr
    om the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the aims of Yellowstone Bible Camp. This might inclue (but is not limited to), the right to use them in their printed and online pubilicity or social media, press releases and funding applicaitons.                                                                                                                                        
    ELECTRONIC SIGNATURES                                                                                                     TODAY'S DATE:
    Please type full name.
    Please type full name
    ​Yellowstone Bible Camp does  not discriminate as to color, creed, or nationality in accepting applications.
    ​
    Thanks for choosing Yellowstone Bible Camp!
     
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