BeTheLi9ht Student Code of Conduct

BeTheLi9ht Center Student Code of Conduct

Please fill out this form acknowledging the rules & expectations of our center
General Information
Student Name*

Given NameLast Name
Preferred Name (not required)
Name you go by
Pronouns (not required)
Preferred Pronouns
Phone Number*
Email*
example@example.com
Date of Birth*

MonthDayYear
Date
Student Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name*
HHS, Kreps, etc:
Parent/Guardian

Please list at least one parent or guardian
Parent/Guardian Contact: In case of emergency, please contact the following person *

First NameLast Name
Primary Contact relationship to student*
Parent/Guardian Cell Phone Number*
Second Parent/Guardian: In case of emergency, please contact the following person (not required)

First NameLast Name
Secondary Contact relationship to student
Secondary Contact Cell Phone Number
Student Code of Conduct

This section must be completed by the student. Parents are required to fill out the Participation Waiver on another form (please be sure they do)
• Respect the volunteers, equipment, building and peers.

• Sign in when you arrive and sign out when you leave

• Please keep your hands to yourself

• No cursing will be tolerated

• Unruly, physically aggressive, or dangerous behavior is unacceptable

• Please use inside voices, keep low noise level

• Anyone in possession of improper or illegal substances will be subject to disciplinary and/or legal actions. NO SMOKING OR VAPING ALLOWED.

• No bullying

• No verbal, physical or visual harassment of another participant or volunteer

• Any actual or threatened violence toward any individual will result in expulsion and possible law enforcement

• No PDA (public displays of affection-hand holding, kissing, cuddling, etc) will be permitted

• Clean up after yourself

• Dangerous or unauthorized materials such as explosives, firearms, weapons or other similar items is prohibited
Student Commitment: I have read and understand the Code of Conduct above. I agree to abide by it for the safety and enjoyment of myself and of other campers. I understand the consequences of failing to meet these guidelines may result in suspension or expulsion from The BeTheLi9ht Center.
Code of Conduct: Student Signature:*

Clear
Date of Signature*

MonthDayYear
Date
Should be Empty:

BeTheLi9ht Center Student Code of Conduct

General Information

Parent/Guardian

Student Code of Conduct