Black Lives Matter Utah - Summer Camp Sign Up Form 2022
Camp is August 6,7,8 and 9 2023 Please only fill out this form for yourself and your own family. We require that one parent attend with their children. There are only 8 cabins, which means that you either will get a cabin, can bring a tent or an RV, or sleep in the Gymnasium. The cabins are not air conditioned and get EXTREMELY hot in the summer. We ask that everyone bring electric fans. There are heated showers. We run low on life jackets, boats, and canoes, bringing these will help the camp immensely. Also bottled water and ice are always needed. People ask if they should bring white children. Every year we have children of all races. However the limit is 100 kids this year. We want the kids to have a Black experience. Please understand that. Every white child in the state is constantly surrounded by white faces. Black children never get to be surrounded by 100 other Black children. However last year we had two white children, some Latinx children, and some Asian children also. The camp is located in Logan Utah. We allow ages 7-17. All volunteers must be background checked. We do not allow YOU to provide a background check. We use Backtrack screening to conduct the background check and it costs $25 per background check. We do not background check parents, we background check volunteers.
Sign in to Google to save your progress. Learn more
Email *
Parent's First and Last Name *
Parent Phone Number *
Emergency Contact Phone *
How many children are you bringing to camp?
Clear selection
Tell us about the kids who are coming to camp. *
Tell us the names, race and ethnicity and ages of the kids.
Tell us shirt sizes for the kids
Please choose your accommodations *
Does your child have any food allergies that we need to know about *
Do your child have disabilities that we can accommodate *
Can you bring any of the following things? *
Required
If you indicated other what would you like to bring?
Do you have any special talents we can use at camp?
If you indicated other please explain
All Parents are REQUIRED to help at camp. How will you help? *
Do you agree to provide proof of negative covid tests for all in attendance the week camp starts? *
You agree to wear masks inside all buildings at camp *
No pets are allowed at camp. Do you understand this rule? *
Is this your first year at Camp? *
Will you be able to afford a ticket or would you like to request a donation ticket. *
Is there anything that you would like to add? *
How much do Black Lives Matter? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy