FOUNDATION CAMP 2026

FOUNDATION CAMP 2026
Foundation Camp 2026 Application
Presented by: 100 Black Men of Rome-Northwest Georgia, Inc.
Organization President: Karl Gyden | Camp Director: Daniel Wilson
For any questions or issues, please email foundationcamp01@gmail.com
Welcome to Foundation Camp 2026! Our mission is to provide one week of foundations in Athletics, Academics, Brotherhood, Self-Respect, and Higher Education. Hosted on the campus of Rome Middle School (old), this camp offers young men a safe environment for personal growth, leadership, and mutual respect.
- Dates: Monday, July 13th through Friday, July 17th, 2026
- Time: 8:00 a.m. to 2:45 p.m. daily
- Eligibility: Young men ages 10 through 14
- Cost: There is no charge for Foundation Camp
- Commitment: Young men must be committed to attend the full week of camp
I. CAMPER INFORMATION (Please Print)
Camper Name:
Preferred Name:
Ethnicity (Optional):
Date of Birth:

MonthDayYear
Date
Age on July 13th:
Camper Address:
School (Fall 2026):
Grade (Fall 2026):
Has he attended before?
Parent/Guardian 1:
Relationship:
Phone:
Format: (000) 000-0000.
Parent/Guardian 2:
Relationship:
Phone:
Format: (000) 000-0000.
Guardian 1 Email Address:
example@example.com
Camper Shirt Size

FOUNDATION CAMP 2026
II. TRANSPORTATION & AUTHORIZED PICK-UP
Foundation Camp provides bus transportation within the Rome city limits. If your camper rides the bus, you are responsible for getting him to/from the stop. You may also drop off/pick up at the Rome Middle School (old) gym lobby.
Authorized Individuals (Must be 16+ with ID):
1.
Phone:
Format: (000) 000-0000.
Relationship:
2.
Phone:
Format: (000) 000-0000.
Relationship:
I give permission for my child to attend and authorize the individuals above to pick him up:
Signature of Parent/Guardian:
Date:

MonthDayYear
Date
III. PERMISSION & LIABILITY RELEASE
I fully and voluntarily consent to my child's participation in Foundation Camp 2026. I acknowledge that participation may expose my child to risks including bodily injury or property damage. These risks include, but are not limited to, lifting, crossing streets, parking lots, intersections, sports activities, transportation accidents, falls, inclement weather, and exposure to communicable illnesses such as COVID-19.
- Medical Consent: I authorize "Camp leaders" to obtain expedient and proper treatment to assure the health and well-being of my child if I cannot be reached.
- Expenses: I agree to be responsible for any medical expenses incurred beyond routine first aid.
- Property: Campers are responsible for their own electronics; camp leaders are not responsible for loss or damage.
- Licensure: I acknowledge that this program is not a licensed child care facility and is exempt from state licensure requirements.
- General Release: I hereby release, absolve and discharge Rome Middle School, 100 Black Men of Rome-Northwest Georgia Inc., and their agents from any claim arising from participation.
Signature of Parent/Guardian:
Date:

MonthDayYear
Date

FOUNDATION CAMP 2026
CODE OF CONDUCT
I. CORE VALUES
- Integrity: Being honest and ethical in all interactions.
- Respect: Valuing the backgrounds, opinions, and property of others.
- Responsibility: Taking ownership of your actions and personal development.
- Excellence: Striving to give your best effort in every activity.
II. BEHAVIORAL EXPECTATIONS
- Respect: No bullying, harassment, or derogatory language. Respect personal boundaries.
- Engagement: Be punctual for all sessions. Follow staff and guest speaker instructions promptly.
- Environment: Leave every space cleaner than you found it. Respect all facilities and equipment.
- Technology: Use mobile devices during designated "Tech Breaks" only. No recording others.
- Safety: Adhere to all safety guidelines during off-site excursions or physical activities.
III. APPEARANCE & FOOTWEAR REQUIREMENTS
- Footwear: CLOSED-TOE ATHLETIC SHOES ONLY. For safety reasons, participants wearing slides, sandals, or Crocs will not be permitted to participate in activities.
- Clothing: Wear comfortable attire suitable for movement (Ex: T-shirts and gym shorts).
IV. PROHIBITED CONDUCT (Immediate Dismissal) The following actions will result in immediate removal from the camp program:
- Possession or use of illegal substances, alcohol, or weapons.
- Physical violence or threats of harm toward any individual.
- Theft or intentional damage to property.
- Leaving camp premises or designated areas without explicit staff permission.
V. COMMITMENT TO GROWTH
Foundation Camp is a community of young men striving for excellence. We understand mistakes happen, but we expect you to learn from them and adjust your behavior accordingly. "Character is doing the right thing when nobody is looking."
VI. ACKNOWLEDGMENT
By signing below, I acknowledge that I have read and understood this Code of Conduct. I agree to abide by these standards and understand that my continued participation is contingent upon my adherence to these rules.
Participant Signature:
Date:

MonthDayYear
Date
Parent/Guardian Signature:
Date:

MonthDayYear
Date
Should be Empty:

FOUNDATION CAMP 2026

Foundation Camp 2026 Application

I. CAMPER INFORMATION (Please Print)

II. TRANSPORTATION & AUTHORIZED PICK-UP

III. PERMISSION & LIABILITY RELEASE

IV. MEDICAL HISTORY & MEDICATION PROTOCOL

V. PHOTO RELEASE & CODE OF CONDUCT

CODE OF CONDUCT

I. CORE VALUES

II. BEHAVIORAL EXPECTATIONS

III. APPEARANCE & FOOTWEAR REQUIREMENTS

IV. PROHIBITED CONDUCT (Immediate Dismissal) The following actions will result in immediate removal from the camp program:

V. COMMITMENT TO GROWTH

VI. ACKNOWLEDGMENT