YOUTH APPLICATION
YOUTH LIABILITY WAIVERS
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Youth Application


All fields are required.

Basic Information:

First Name
Last Name
Date of Birth / /
Grade:
School:

Contact Information

Phone () -
Email
Street
City
State:
zip

Parent / Guardian Information

Name
Relationship:
Please specify:
Phone () -
Email

Youth Survey

Do you use alcohol and/or drugs?
Do you have access to guns and/or weapons?
Do you think the laws in our community are too strict?
Do you think there is too much violence on TV?
Have you had to move several times?
Is your neighborhood a safe place that you like?
Is money an issue for your family?
Does your family have a history of getting into trouble?
Do your parents/guardians do a good job raising you?
Is there a lot of conflict in your family?
Are your parents/guardians a positive influence in your life?
Have you had trouble succeeding in school?
Are you committed to finishing high school?
Do you get along with others easily?
Do you get into trouble a lot?
Do you have friends who get into trouble?
Do you think it's cool to be in trouble?
Have older friends encouraged you to do the wrong thing?
Have you ever been suspended or expelled from school?
Have you ever been in trouble with the law?
How did you learn about BYEP?

Youth Outdoor Experience

Describe your outdoor interests and experience.

Youth Personal Statement

Why do you want to join BYEP?
What strengths will you bring to BYEP?
Remember all fields are required!