Summer Camp Activity Waiver Form

Summer Camp Activity Waiver Form
BE THE 1 Youth Organization Presents: Two Empowering Summer Camps for Youth!

This summer, BE THE 1 Youth Organization invites boys and girls to participate in two exciting, purpose-driven weekend camps designed to inspire, educate, and empower. Each camp runs over a two-day weekend (Saturday and Sunday of your choice), from 9:00 AM to 6:00 PM. Participants will be provided with two nutritious meals and a snack each day—all included in the program cost.

Each weekend experience is offered at $100 per child, and families are responsible for transportation to and from the camp location. Camps will alternate every other weekend, giving families the flexibility to choose one or both programs that best align with their child’s interests.

Explore Our Summer Camp Experiences:

Camp A: REDEFINE YOURSELF – Health & Recreation Camp

Unleash your potential with a weekend focused on personal wellness and recreation. Campers will enjoy access to a state-of-the-art gym, guided nutrition education, mindfulness practices, and hands-on activities like swimming and creative exercises designed to help apply newly learned life skills.

Meet other motivated youth, explore new perspectives, and discover the power of healthy living—physically, mentally, and socially.

⸻

Camp B: YOUNG ENTREPRENEURS – Creative Business Camp

Step into the world of entrepreneurship! Campers will learn how to start their own business from the ground up—including registering a business, developing a business plan and logo, understanding branding and marketing, and exploring funding options. This interactive program also includes financial literacy, personal branding, and creative sessions where campers design custom merchandise and social media marketing materials using their own logos.

Connect with like-minded young leaders and take your first step toward business success!

Whether your child is passionate about wellness, creativity, or launching their own business, these unique weekend camps provide a fun and inspiring environment to learn, grow, and thrive.

Ready to Get Started?

Choose one or both camps and fill out the registration form with the required information to secure your child’s spot!
Name of the Child*

First NameLast Name
BIRTHDATE*

MonthDayYear
PARTICIPANT’S BIRTHDATE
Name of the Parent/Guardian*

First NameLast Name
Parent/Guardian's Phone Number*
Parent/Guardian's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which program did you sign up for?*

CAMP A May 31st & June 1stCAMP B June 7th & 8thCAMP A June 14th & 15thCAMP B June 21st & 22ndCAMP A July 12th & 13thCAMP B July 19th & 20thCAMP A July 26th & 27thCAMP B August 2nd & 3rd
Statement of Consent & Waiver

I hereby agree and declare that I am the legal parentguardian of the above-named child and hereby consent to the child's participation in the activities that are described to me in registration process. I understand that activities of the kind described may result in physical injury to my child but nonetheless specifically request that he or she be allowed to participate in those activities.

If the above-named child requires any emergency medical treatment or procedures during the activities, I hereby consent to activity supervisor(s) to make any decision and take any action to arrange for such procedures or treatments in the discretion of the activity supervisor(s).

I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities and I consent to the participation of the above-named child to these activities.

Any type of injury that may occur to the child without the fault of the camp management and activity supervisors, the camp management cannot be held responsible for any harm that may occur to the child without the fault of the camp management and activity supervisors.

My Products*

Summer Camp

$100.00

CAMP CHOICE	Quantity
CAMP A
CAMP B

Enter coupon

Total

$0.00

Credit Card

Parent/Guardian Signature*

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Email*
example@example.com
Participant’s Gender
Participants Grade Level*
If already graduated, type high school graduate
What size T shirt? *
Please specify youth, men’s, or women’s
What is one thing your child is looking forward to about camp this year?*
Please add your child’s strengths and interests
Name and phone number of emergency Contact*
PARTICIPANT’S ALLERGIES*
Please type none if none
Participant’s Medical Conditions*
Please list anything we would need to know
Does your child have any behavioral disabilities?*

Yes, but easily instructedYes, might be difficult to instructNot diagnosed, but I acknowledge it may be a problemNo
Please add any information that is important to us to know about your child while they are under our supervision.*
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