Youth Event Registration

If You Are Registering More Than One Child, Please Fill Out A Separate Form For Each Child.

Printable School Tour Request Form

Please Specify The Name And Date Of The Camp/Event You Are Registering For(Required)

Student's Name(Required)

First Last

Grade completed(Required)

Parent's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Major Phone(Required)

Other Phone

Email(Required)

Would You Like To Be Added To Our E-newsletter mailing list, To Stay Up To Date on Up Coming Events?(Required)

Please let us know of any health problems your child may have including allergies

Please list:

Is there someone besides yourself, if you cannot be reached, with authorization for your child to be treated in the case of a medical emergency?(Required)

Yes

No

Emergency Contact Info(Required)

First Name

Last Name

Phone Number

If there is more than 1 emergency contact, click the + (plus) symbol to add more.

Please check and sign for permission to use your child’s picture for publicity or other BAHM publications.(Required)

Yes

No

Signature