1. automotive and vehicles
2. campers and rvs

2015 West Texas
COWBOY CAMPS
Big Country Baptist Assembly
Lueders, Texas
Preteen: June 7-10
Youth: June 11-14
AFCC // P O Box 513 // Waxahachie, Texas 75168
phone 972-937-9979 // fax 972-937-9943 // www.americanfcc.org
DEADLINES
APRIL 1, 2015
Postmark deadline for Advance Registration Form and deposit in the amount of
$50 per camper (a deposit may be transferred to a new camper, but not
refunded); mail to
AFCC
P O Box 513
Waxahachie TX 75168
May 1, 2015
Deadline for Criminal and Sexual Misconduct Records Check Authorization form
(for each sponsor) and Church Registration form to be mailed, faxed or emailed
Fax # 903-842-2828
Email [email protected]
MAY 1, 2015
Postmark deadline for full payment in advance at the discounted rate of $185 per
camper; NO REFUNDS ALLOWED AT THIS RATE; mail to
AFCC
P O Box 513
Waxahachie TX 75168
TWO WEEKS PRIOR TO CAMP
All adds, drops, and changes to the original Church Registration form must be
faxed or emailed to Connie
Fax # 903-842-2828
Email [email protected]
CAMP DAY
Final payment at the rate of $200 per camper due at camp
--------------------------------------------------------------------------You may pay for some of your campers at the discounted rate and the remaining
campers when you arrive at camp.
For example: You have 30 campers/sponsors preregistered ($50 deposit paid for
each). You feel confident that 25 of those will be at camp, so you pay for those
campers at the discounted rate of $185 each by May 1. Youʼre not sure about
the remaining 5 campers, so you pay for those campers at the full rate of $200
each when you arrive at camp.
FEBRUARY
1. PRAY
THE PROCESS STEP-BY-STEP
2. Find a member of your team that is a good organizer and GET SOME HELP
3. Create and copy a “camp packet” for each camper
Cover sheet with this info (run this on colored paper):
Camp location and dates
Camp fee (you may want to add a transportation cost to the camp cost)
Your name and contact information
Due dates for forms & payments (leave yourself a few days to organize paperwork)
Place and time to meet the morning you leave for camp
Time you expect to return from camp
Then, add these forms from this registration packet:
Camper Rules and Information (run this on colored paper)
Camper Registration form (run this on white paper)
Food Allergies and Medication forms (run this on white paper)
***When you staple your camp packets together, make sure the Camper Registration
form and Medication form are at the back of the packet. That way, you can remove
those forms and the parents can keep and use the colored information pages.
Follow the same steps for your sponsor packets. Replace the Camper Registration
form with the Sponsor Registration form and add the Criminal and Sexual
Misconduct Records Check Author. form. Don’t forget Allergies & Medication.
4. Promote camp
Show 2014 camp video and/or share student testimonies about camp
5. Make a list of potential campers and sponsors
6. Begin collecting campers’ deposits and registration forms and don’t forget to check
for parent and student signatures; then keep a record of deposits and forms
MARCH
1. PRAY
2. Continue promoting camp and collecting deposits and forms
3. Complete the Advance Registration form and mail it and your deposit to AFCC,
P O Box 513, Waxahachie TX 75168. This form must be postmarked by April 1, 2015
in order to guarantee your church a spot at the camp of your choice.
APRIL 1
POSTMARK DATE FOR ADVANCE REGISTRATION FORMS THAT GUARANTEE
YOUR CHURCH A SPOT AT THE CAMP OF YOUR CHOICE
APRIL
1. KEEP PRAYING
2. Continue collecting camp payments and forms
3. Verify that each sponsor has completed and signed a Criminal and Sexual
Misconduct Records Check Authorization form.
4. Fax or email the Criminal and Sexual Misconduct Records Check Authorization
form for EVERY SPONSOR and the Church Registration Form by May 1, 2015.
Fax # 903-842-2828
Email [email protected]
After May 1st you may only replace a boy with another boy or a girl with another girl. A
fifty dollar ($50.00) non-refundable deposit is required for each person. This is a good
time to start a list of students that may want to come to camp, but did not meet the signup deadline and a list of students that signed up, but are unable to come.
MAY 1
POSTMARK DATE FOR FULL PAYMENT AT THE DISCOUNTED RATE OF $185 PER
CAMPER; CHURCH REGISTRATION FORM AND CRIMINAL RECORDS CHECK
FORMS DUE
MAY
1. KEEP PRAYING
2. Continue collecting camp payments and forms
JUNE
1. KEEP PRAYING
2. Fax or email all adds, drops, and changes two weeks before camp to Connie
Fax # 903-842-2828
Email [email protected]
3. Check the camper and sponsor registration forms for signatures (both camper and
parent/guardian).
4. Make one copy (for you) of the completed forms.
5. Make sure each sponsor has completed the Child Protection Training course.
Training is available at lathamsprings.com. If you need assistance with this training,
please contact Connie.
6. Collect all money and bring one check from your church with the total amount owed.
BRING TO CAMP
1. Individual Registration forms for all campers and sponsors (original for camp; copy for
you) and a copy (for camp) of each sponsorʼs Child Protection Training certificate
2. Prescription medicines in original containers
3. Your final camp payment
4. STUDENTS AND SPONSORS READY FOR A GREAT TIME FILLED WITH LEARNING
ADDITIONAL INFORMATION
All forms may be downloaded from the AFCC Website at www.americanfcc.org. Be sure
that you use the camp forms for the specific camp you plan to attend as forms are
different for each camp.
AFCC address: "
"
"
"
"
"
"
"
"
American Fellowship of Cowboy Churches
PO Box 513,
Waxahachie TX 75168
Phone contact: "
Connie Sanford, 903-571-7119
Fax number:"
903-842-2828 (for camp only)
"
Email address: ""
[email protected]
Requirements for all Sponsors
You must have at least one adult sponsor for every ten students of each gender. If you bring
fewer than ten students of each gender, you still MUST bring one sponsor for each gender.
For example: if you bring six girls and seven boys you must bring one female sponsor and one
male sponsor. If you bring 16 girls and 23 boys, you must bring two female sponsors and
three male sponsors.
Must be 21 or older
Must complete the Criminal and Sexual Misconduct Records Check Authorization form
(by May 1st)
Must complete the Child Protection Training Course for the camp you will be attending.
Have your pastor or church staff member sign all sponsor forms where required.
Keep the original Certificate of Completion on file at your church and bring a copy to camp.
WEST TEXAS CAMP
Big Country Baptist Assembly
Lueders, Texas
CAMP CHECK IN and CHECK OUT TIMES
Preteen Camp (3rd-6th grades)
Check in on June 7th from 9:00 a.m. until 12:00 p.m.
Check out and leave on June 10th at appx. 9:00 a.m.
Youth Camp (7th-12th grades)
Check in on June 11th from 9:00 a.m. until 12:00 p.m.
Check out and leave on June 14th at appx. 9:00 a.m.
CAMPER RULES AND INFORMATION
Wha’cha Need to Bring
PLEASE LABEL ALL ITEMS (FIRST AND LAST NAME)
Bible
notebook
pens or pencils
sleeping bag or twin sheets and blanket
pillow
toothpaste/toothbrush
soap/shampoo/hairbrush
shower shoes (flip-flops)
towels/washcloths
sunscreen and/or a cap or hat
insect repellent
shorts and/or jeans (may get muddy)
shirts/underwear/socks (may get muddy)
comfortable tennis shoes or boots
modest swimsuit
plastic bag for dirty clothes
medication (in original prescription bottle; to be
dispensed by the camp nurse)
flashlight
spending money for snacks and souvenirs
(appx $20.00)
snacks in single-serving size or reclosable
bags
camera to capture the fun
DO NOT BRING
excessive money
expensive jewelry
electronic games
weapons
Wha’cha Can an’ Can’t Wear
This Dress Code applies to all students and sponsors attending AFCC Cowboy Camps
and will be enforced by camp staff and host camp staff. Remember, AFCC camps are
Christian camps and we should seek to represent Jesus Christ in every aspect of the camp
experience including the way we dress.
Dress Code
★ Shorts must be modest in length. No short shorts.
★ All pants, jeans, shorts must have waistbands.
★ Shirts must cover the entire torso and not allow midriffs or bellybuttons to show even
when arms are raised.
★ Sleeveless shirts are allowed but must cover the entire shoulder.
★ No spaghetti straps or tank tops.
★ Swimsuits must be modest.
★ Undergarments must be worn underneath clothing and cannot show through clothing or
rise above the waistband of pants.
★ All clothing must be appropriate and cannot advertise any alcohol or tobacco products.
★ Clothing that represents things contrary to Christianity (i.e. satanic shirts, shirts with
inappropriate language, etc.) cannot be worn.
★ Sleep wear must be modest and may not be worn out of the cabins.
★ All campers are to be fully dressed in accordance with the dress code any time they are
outside their cabins.
Wha’cha Can an’ Can’t Wear, cont.
Enforcement of Dress Code
Group leaders are asked to review the dress code with all campers and their parents
before leaving for camp. We ask that group leaders and adult sponsors lead by example in
following the dress code.
Wha’cha Can an’ Can’t Do
AFCC Cowboy Camps are Christian camps, and all rules are designed to help us conduct
ourselves in ways that reflect Christ in all we do.
★ Alcohol, illegal drugs, tobacco, knives, guns, pets, skateboards, fireworks, or MP3
players ARE NOT PERMITTED. Such items will be confiscated and may be returned
at departure.
★ Cell phone usage is permitted only during free time or in case of emergency.
★ Please respect all camp properties. We ask you to assist in keeping the grounds clean
of trash. Cans are provided.
★ If property or equipment is damaged, your group will be held responsible for any cost
incurred for repair or replacement.
★ If the dorm room is excessively filthy during your stay or upon departure, your
church will be assessed a fine of $100.00.
★ Shaving cream fights, water fights, etc. will not be tolerated.
★ All clothing must meet dress code.
★ Shoes must be worn at all times unless the camper is in the swimming pool.
★ All Camp activities are closed unless camp staff is present.
★ Meals must be eaten in the dining hall unless otherwise prearranged with camp staff.
★ Students are not allowed to leave the camp grounds while attending Cowboy Camp.
★ Students must attend scheduled activities.
★ Students are not allowed to enter the dorms of the opposite sex for ANY reason.
★ PDA (Public Display of Affection) will not be tolerated.
★ Students are not allowed to share any medication belonging to them with any other
student—all medication must be checked in with the camp nurse.
★ Students are not allowed to ride livestock and/or tend to livestock without camp staff
present.
For emergencies please call:
West Texas Camp: Big Country Baptist Assembly (325-228-4542)
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2015 WEST TEXAS
COWBOY CAMPS
Big Country Baptist Assembly
Lueders, Texas
Preteen: June 7-10
Youth: June 11-14
Registration Fees
• To reserve bunks at the camp of your choice, a $50.00 deposit per student and
sponsor is due with this Advance Registration Form
• A deposit may be transferred to a new camper if a camper backs out, but there will
be no refund issued once a deposit is paid.
• Cost $185 for each person paid in full by May 1, 2015 (NO REFUNDS)
• Cost $200 for each person paid in full on the first day of camp
Packet Information
Registration Packets can be found on our website: americanfcc.org
Mail a separate form for each camp and your deposit by April 1, 2015
Number of
Sponsors
+
Number of
Students
=
Total Campers
x
Deposit per
Camper
$50.00
=
DEPOSIT DUE
circle WEST TX CAMP attending
PRETEEN
YOUTH
Contact ___________________________________________________________________________________________________
Phone _____________________________________________ Email __________________________________________________
Church Name _______________________________________ Pastor__________________________________________________
Church Address _____________________________________ City/State/Zip ____________________________________________
AFCC // P O Box 513 // Waxahachie, Texas 75168
phone 972-937-9979 // fax 972-937-9943 // www.americanfcc.org
Criminal & Sexual Misconduct
Records Check Authorization Form
AFCC Camp you will be attending:
West Texas Camp
DUE BY MAY 1, 2015
Preteen_____ Youth_____
LAST NAME
THIS FORM IS REQUIRED EACH
YEAR FOR EACH SPONSOR
FIRST NAME
MIDDLE NAME
DATE OF BIRTH
SOCIAL SECURITY
DRIVER’S LICENSE
STREET NUMBER
STREET NAME (NO PO BOXES)
APARTMENT NUMBER
CITY
STATE
ZIP
PHONE NUMBER
NAME OF CHURCH
By signing this form I authorize Big Country Baptist Assembly and/or the American Fellowship of Cowboy
Churches (AFCC), their staff, and/or volunteers to make an independent investigation of my background,
references, character, criminal or police records to obtain information which may or may not qualify me as
a volunteer at any AFCC Cowboy Camp.
SIGNATURE
DATE
Child Protection Policy (the training is valid for two years)
I have proctored a State of Texas approved Child Protection Training Course for the above-named AFCC
Cowboy Camp sponsor applicant. The above applicant scored a grade above 80 on the final exam.
Therefore, I have issued this sponsor applicant a 2015 Certificate of Completion. A copy of this Certificate
will be brought to camp and will be readily available upon request. Child Protection Training is
available online at www.lathamsprings.com.
Check One:
I will provide a copy of the 2014 or 2015 Certificate of Completion
No copy of 2014 Certificate of Completion, but sponsor took the training provided by AFCC Camp
attended last year
Church Group Leader Signature__________________________________________ Date ____________
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West Texas Camp
Church Registration Form
Church Name, City ______________________________________________
Please send a separate form for each camp
Check one: Preteen: June 7-10 ___ Youth: June 11-14 ___
Camper or Sponsor Name
(please list all campers first;
make copies as needed)
Male
Camper
***For changes made after the ORIGINAL
REGISTRATION FORM has been mailed,
please indicate the type of change in the
last column below and resend the form.***
Female
Camper
Male
Sponsor
Female
Sponsor
T-Shirt Size
(state youth or
adult size)
Correction,
Addition or
Deletion
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2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTALS (on 1st page only for all pages)
TOTAL CAMPERS AND SPONSORS ATTENDING CAMP ____________
T-shirt Order:
youth med _______ youth lg _______ youth xlg _______
adult sm _______ adult med _______ adult lg _______ adult xlg _______ adult 2X _______ adult 3x ______ adult 4x ______
BCBA STUDENT REGISTRATION FOR CAMP:___________
DATES OF CAMP: ____________
Do not leave anything blank! If your answer is “none,” enter “N/A.” This form must be completed for every camper under
the age of 18. Sponsors and campers over the age of 18 must complete the Adult Registration form.
Camper Information
T shirt size ____
Name:____________________________________________Gender:______________________ Age__________________
Birth Date____/____/____ Grade Completed:____ Home # (_____) _____-_________ Mobile # (_____) _____-_________
Address:_____________________________ City:_______________________________ State:____Zip:_______________
Name of Church/Group/Organization camper will be with:____________________________________________________
Camper's Sponsor Name:_________________________________________________ Mobile # (_____) _____-________
Emergency Contact:_________________________________________ Relationship to Camper:______________________
Primary Telephone # (_____) _____-_________ Work # (_____) _____-_________ Mobile # (_____) _____-__________
Physical Limitations (Asthma, Diabetes, Allergies, etc) and/or special instructions (Allergic to certain medications, food
allergies, rare blood type, wear contacts, etc.)_______________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
List all medications the camper is currently taking. For each medication, indicate whether or not it will be brought to camp.
If you need more room, please attach additional pages.
Medication #1:______________________________________________________________________________________
AM
Noon
Dinner
Bedtime __________________________
Special Instructions (dosage, times, etc)
___________________________________________________________________________________________________
Medication #2:______________________________________________________________________________________
Special Instructions (dosage, times, etc)
AM
Noon
Dinner
Bedtime _________________________
___________________________________________________________________________________________________
Medication #3:______________________________________________________________________________________
AM
Noon
Dinner
Bedtime _________________________
Special Instructions (dosage, times, etc)
___________________________________________________________________________________________________
Parent/Guardian Information
Name of Parent or Guardian____________________________________________ Relation to Camper________________
Primary Telephone # (_____) _____-_________ Work # (_____) _____-_________ Mobile # (_____) _____-__________
E-Mail Address ______________________________________________________________________________________
Name of Parent or Guardian____________________________________________ Relation to Camper________________
Primary Telephone # (_____) _____-_________ Work # (_____) _____-_________ Mobile # (_____) _____-__________
E-Mail Address ______________________________________________________________________________________
Insurance Information:
Insurance Company:______________________________ Name on card:_____________________________________
Insurance Policy #:________________________________ Phone Number:____________________________________
Address:__________________________________ City:___________________ State:________ Zip:______________
MEDICAL, SURGICAL AND OTHER REQUIRED WAIVERS
I, _____________________________, parent and/or legal guardian of ______________________________, minor, hereby
acknowledge that said minor is presently under my care, custody, and control. I give my child (the aforementioned minor)
my express permission to attend Big Country Baptist Assembly (hereafter referred to as BCBA) between the dates listed
above. I further expressly grant my permission for my child, the aforementioned minor, to participate in all activities of said
camp with the following listed exceptions: ________________________________________________________________
___________________________________________________________________________________________________
I have listed above said minor's physical conditions or medical problems that may need attention, and all medications
regularly used by said minor. In the event there arises an emergency necessitating medical or surgical attention, I hereby
consent and give my permission to BCBA, its representatives, my dependent child's Camp Sponsors, or any attending
physician of the above stated dates to make such decisions and/or to perform such medical treatments upon my said minor
dependent which may, in their sole discretion, be considered necessary.
Furthermore, I do release, acquit, discharge, and covenant to hold harmless the BCBA, it's representatives, or my dependent
child's Camp Sponsors, or any attending physician of the above dates, from any and all actions, damages, or liabilities
arising out of any injury or any sickness (or the treatment of any injury or any sickness) that occurs during my dependent
minor's stay at BCBA. I also understand and agree that the local Shackelford County Court would be the point of venue
should a legal dispute arise as a result of my child's stay at BCBA during the above dates.
I consent and give permission to the BCBA staff to inspect the bunkhouses for the safety and protection of all BCBA
campers present, if unusual circumstances make such an inspection necessary. I give my full consent and permission to
BCBA staff to use my child's photo for BCBA promotional purposes. I also consent and give permission for my child, at
his/her own discretion, to participate in counseling sessions while attending BCBA.
I have read the 2014 BCBA Policies and Procedures and explained them to my minor child. We both understand that my
child will be dismissed from camp and sent home without refund and at my expense if he/she does not adhere to these
policies. Besides the sponsor listed above, I hereby authorize the following person(s) to pick up my child from the BCBA
grounds:
Name: ___________________________ Name: ___________________________ Name: ___________________________
PARENT/LEGAL GUARDIAN SIGNATURE: ______________________________
FOOD ALLERGY & SPECIAL DIET NEEDS
Please Use Separate Page for Each Person
Fax Completed Form to 903-842-2828 Two Weeks Prior to Arrival
Name of Camp: ______________________________ Dates: _________________________
Camper Name: ______________________________ Age: _____________
Church: ______________________________________________________
Parents Name: ____________________________ Phone #: ___________________________
Is parent attending camp with child? ________,
If not, please list name of adult sponsor ___________________________________________
List allergies or explain special dietary needs:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Is camper aware of his/her allergies? ______
Is camper able to monitor his/her own food requirements? _______
Is child bringing some of his/her own food? ________ if so please list below:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
MEDICATION FORM
For the safety of each camper, all medication (prescription or non-prescription drugs)
will be held at the camp nurse’s station and administered by camp-approved, certified
medical personnel who are on duty 24 hours a day.
If you need to send medication to camp, please place it and the completed form below
in a zip-lock bag. Please DO NOT send any medication that is not absolutely
necessary.
EACH MEDICATION MUST BE IN ITS ORIGINAL CONTAINER FROM THE
PHARMACY. NO BLANK PILL BOTTLES OR DAILY MEDICATION BOXES. BE
SURE TO MAKE THE FORM VISIBLE IN THE BAG.
PLACE THIS FORM IN THE ZIP-LOCK BAG
ALONG WITH THE MEDICINE
THIS MEDICINE BELONGS TO ___________________________________________
CAMPER’S CHURCH ___________________________________________________
MEDICINE ____________________________ DOSAGE _______________________
MEDICINE ____________________________ DOSAGE _______________________
MEDICINE ____________________________ DOSAGE _______________________
MEDICINE ____________________________ DOSAGE _______________________
MEDICINE ____________________________ DOSAGE _______________________
PARENT’S NAME ______________________________________________________
DAY PHONE ______________________NIGHT PHONE _______________________
DOCTOR’S NAME _______________________ PHONE _______________________
BCBA ADULT REGISTRATION FOR CAMP:______________
DATES OF CAMP: _______________
Do not leave anything blank! If your answer is “none,” type in “N/A.” This form must be completed for every sponsor and
camper over the age of 18.
Camper Information
Your Name:_________________________________________________________________________ Gender:_________
Address:_____________________________ City:_______________________________ State:____Zip:_______________
Birth Date____/____/____ Grade Completed:____ Home # (_____) _____-_________ Mobile # (_____) _____-_________
Name of Church/Group/Community you will be with:________________________________________________________
Camper's Sponsor Name:_________________________________________________ Mobile # (_____) _____-________
Emergency Contact:_________________________________________ Relationship to Camper:______________________
Primary Telephone # (_____) _____-_________ Work # (_____) _____-_________ Mobile # (_____) _____-_________
Physical Limitations (Asthma, Diabetes, Allergies, etc) and/or special instructions (Allergic to certain medications, food
allergies, rare blood type, wear contacts, etc.)_______________________________________________________________
___________________________________________________________________________________________________
List all medications you are currently taking. For each medication, indicate whether or not it will be brought to camp.
If you need more room, please make notations on the back of this page.
Medication #1:_______________________________________________________________________________________
AM
Noon
Dinner
Bedtime __________________________
Special Instructions (dosage, times, etc)
___________________________________________________________________________________________________
Medication #2:_______________________________________________________________________________________
Special Instructions (dosage, times, etc)
AM
Noon
Dinner
Bedtime __________________________
MEDICAL, SURGICAL AND OTHER REQUIRED WAIVERS
I, _____________________________, have listed above my physical conditions or medical problems that may need
attention, and all medications that I regularly use. In the event there arises an emergency necessitating medical or surgical
attention, I hereby consent and give my permission to BCBA, its representatives, my Camp Sponsors, or any attending
physician of the above stated dates to make such decisions and/or to perform such medical treatments upon myself, which
may, in their sole discretion, be considered necessary.
Furthermore, I do release, acquit, discharge, and covenant to hold harmless the BCBA, it's representatives, my Camp
Sponsors, or any attending physician of the above dates, from any and all actions, damages, or liabilities arising out of any
injury or any sickness (or the treatment of any injury or any sickness) that occurs during my stay at BCBA. I also
understand and agree that the local Shackelford County Court would be the point of venue should a legal dispute arise as a
result of my stay at BCBA during the above dates.
I consent and give permission to the BCBA staff to inspect the bunkhouses for the safety and protection of all BCBA
campers present. If unusual circumstances make such an inspection necessary, I give my full consent and permission to
BCBA staff to use my photo for BCBA promotional purposes.
I have read the 2014 BCBA Policies and Procedures. I understand that I will be dismissed from camp and sent home
without refund and at my expense if I do not adhere to these policies.
Insurance Information:
Insurance Company:______________________________ Name on card:_____________________________________
Insurance Policy #:________________________________ Phone Number:____________________________________
Address:__________________________________ City:___________________ State:________ Zip:______________
SIGNATURE: ______________________________
PLEASE CONTINUE ONLY IF you’re an adult (18+) attending BCBA for 3 or more nights while minors are present.
2014 BCBA SPONSOR APPLICATION
Other Names I Have Used (Maiden, alias, legal name change, etc.):___________________________________________
DL#:_______________ State:__________________ Social Security #:_____-____-_______
Previous Addresses in past 7 years:
1)__________________________________________________________________________________________________
2)__________________________________________________________________________________________________
I, the undersigned, have completed a State of Texas Approved Child Protection Training Course and have correctly answered at least 80% of
the questions on the final exam. Furthermore, while I am on the BCBA property, I will be able to present the proper documentation proving
that I have satisfactorily completed this course upon request. By my signature, I affirm that all information on this form is true and accurate.
Have you ever been convicted of a felony or misdemeanor? _____Yes _____No
If yes, explain on the back of this page.
I hereby authorize (your church/organization)_____________________________________to obtain information about me form various law
enforcement agencies, courts and corrections agencies. This authorization shall continue to be effective until revoked by me. A photocopy or
facsimile of this consent shall be as effective as the original.
Sponsor Applicant’s Signature: __________________________________________
Be Sure Your Church/Organizational Leader Signs Below Before This Form is Mailed:
I, the undersigned, have performed a Criminal Background Check and Child Abuse Registry Check on the above BCBA Sponsor
Applicant and have found no felony or sexual offense convictions listed. I understand that these Background Checks do not need to be turned
in to the BCBA Camp Office. However, these Background Checks will be brought to the campgrounds and will be readily available upon
request.
CHURCH LEADERSHIP SIGNATURE:___________________________________