2025 BBNC Youth Culture Camp Application

Cama'i, Yagheli du, and Waqaa


Quyanaa, chin’an, quyana, and thank you for your interest in Culture Camp. This is an opportunity for BBNC shareholders and descendants to immerse themselves in the cultures, languages, and traditions of the Bristol Bay region. At camp we come together to share and learn as descendants of Bristol Bay’s three cultural groups - Sugpiaq/Allutiiq, Dena’ina, and Yup’ik/Yupiaq. Participant activities include harvesting, language, song and dance. Culture Camp reflects our mission to enrich our Native way of life. Local knowledge bearers from across the region gather and share with participants, serving as cultural champions to promote and preserve Bristol Bay’s heritage.


The 2025 BBNC Culture Camp for youth will take place July 24-29, 2025, on the shores of Qizhjeh Vena (Lake Clark), Alaska.


Who is Eligible?

BBNC shareholders and descendants


When is the application deadline and when will I know the status of my application?

The application deadline is Thursday, May 1, 2025, at 5:00 p.m. Alaska time. The number of available spaces for Culture Camp is limited. However, a completed application will not secure your space at this camp. The applicant selection process will begin upon reaching the application deadline date. Selection committee results will be emailed by Thursday, May 15, 2025.


What are applications evaluated on during the selection process?

  • Successful completion of this form
  • Camper's age
  • Interview responses
  • Reference
  • Equal representation for geographic regions and cultural groups


Quyanaasinaq! Chin’an gheli! Quyanaqvaa!

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Please select an Adult Men's Hoodie size. Each participant will receive a hoodie for attending the BBNC Culture Camp.

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Phone

Youth age when at camp

School Grade Level*
Is the youth a BBNC Shareholder?*

If yes, please list the name of the BBNC shareholder and relationship to the Youth, or n/a if the Youth is a BBNC shareholder:

Parent or Guardian Information

Phone

Address, town name and ZIP code

Youth Interview Questions

Please provide the Youth's answers to the following questions. Alternatively, please indicate if a phone call or Zoom visit to respond is preferred.

Dena’ina (Athabascan)

Sugt’stun (Sugpiaq/Alutiiq)

Yugtun (Yup’ik/Yupiaq)

Have you been a youth camp participant at a previous BBNC Culture Camp?*
If yes, how many times?

Recommendation

Each Youth must provide have one recommendation for participation in the BBNC Culture Camp. Each recommendation must be provided by an adult who is not related to the Youth such as a teacher, counselor, youth group leader, employer, etc. Please provide information about the individual who will provide a recommendation for the Youth. A separate recommendation form will be provided to the individual via email and must be completed for the Youth’s application to be considered.

Phone

Emergency Contacts, Authorization for Emergency and Non-Emergency Treatment, and Medical History

Name (First & Last) and Phone Number, and Relationship to Youth

Name (First & Last) and Phone Number, and Relationship to Youth

While my child is at or is participating in the BBNC Culture Camp, I authorize BBNC to seek emergency medical services and I consent to any emergency transportation, treatment, care, surgery, or hospitalization (hereinafter referred to as “Emergency Medical Treatment”) deemed necessary for the welfare of my child by a licensed emergency medical technician or medical professional. In addition to such authorization and consent:


I give permission to BBNC to share my child’s medical history, as provided in this application, with all emergency medical technicians and medical professionals for the provision of Emergency Medical Treatment.


I understand and acknowledge that BBNC does not assume any liability or costs for Emergency Medical Treatment, and that I will be responsible for all expenses incurred with Emergency Medical Treatment for my child.


I understand and acknowledge that Emergency Medical Treatment and the associated results may vary depending on the seriousness of the injury or illness, my child’s medical history, type of emergency, medical professionals, hospital(s), availability of transportation services, and other factors. Further, I understand and acknowledge that due to the location of the BBNC Culture Camp and its activities, there may be delays in obtaining Emergency Medical Treatment.


I UNDERSTAND AND ACCEPT THE RISKS ASSOCIATED WITH SUCH EMERGENCY MEDICAL TREATMENT AND ANY DELAYS CAUSED BY THE LOCATION OF THE EMERGENCY, AND ON BEHALF OF MYSELF AND MY CHILD, HEREBY RELEASE, WAIVE, AND DISCHARGE BBNC, ITS OFFICERS, EMPLOYEES, AGENTS, AND AFFILIATES FROM ALL LIABILITY, CLAIMS, DEMANDS, OR CAUSES OF ACTION ARISING OUT OF OR RELATED TO ANY INJURY, ILLNESS, OR OTHER MEDICAL CONDITION THAT MAY BE EXACERBATED OR NEGATIVELY IMPACTED BY THE EMERGENCY MEDICAL TREATMENT OR DELAYS TO ACCESS THERETO. I AGREE THAT THIS RELEASE IS APPLICABLE REGARDLESS OF ANY NEGLIGENCE ON THE PART OF THE RELEASED PARTIES.


I understand and acknowledge that BBNC does not provide accident medical insurance for my child during his/her participation in the BBNC Culture Camp, and that I may independently submit claims for Emergency Medical Treatment to my own insurance company.


I agree (check the box)

The following non-prescription medications and products for non-emergency care and treatment may be available to be administered to your child by an authorized staff member of the BBNC Culture Camp with the appropriate parental/guardian consent, which may be provided below:


For headaches/fever/muscle aches/pain/cramps:

  • Acetaminophen (e.g., Tylenol, in any pill, liquid, or capsule form)
  • Ibuprofen (e.g., Advil, including Children’s Motrin, in any pill, liquid, or capsule form)
  • Naproxen (e.g., Aleve, Midol, etc. in any pill or capsule form)
  • Aspirin (in any pill or capsule form)


For bites/allergic rashes:

  • Anti-itching lotion (e.g., Calamine or Hydrocortisone cream 1%)
  • Antihistamines (e.g., Benadryl in any pill, liquid, or capsule form)


For nasal congestion/sinus pressure:

  • Decongestant (e.g, Sudafed, Mucinex, etc. in any pill, liquid, or capsule form)


For coughs and sore throat:

  • Throat lozenges


For upset stomach:

  • Antacid liquid or chewable tablets (e.g., Mylanta, Tums, etc.)


For sun protection:

  • Sunscreen lotion SPF 30 (in chemical and mineral-based lotions, creams, or sprays)


For minor wound care:

  • Saline or hydrogen peroxide
  • Antibacterial ointment (e.g., Neosporin, Polysporin, etc.)
  • Bandages and Band-Aids (may contain latex)


For respiratory protection (in the event of a volcanic eruption resulting in free-falling ash):

  • N95 mask

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Is it okay to administer over-the-counter products to your child on an as-needed basis?


YES, I give BBNC permission to administer over-the-counter products to my child for minor ailments (not requiring emergency medical care) on an as-needed basis and in accordance with the manufacturer’s recommended guidelines for use and dosage.


If you selected “YES”, are there any medications or products that should not be administered to your child?

NO, I do NOT give BBNC permission to administer over-the-counter products to my child in any circumstance.

Physician's Name, Phone Number, and Office Address

Health Insurance Company Name, Phone, Policy Number, Group Number, Name of Policy Holder:

Please specify any existing serious or medical needs, injuries, or illnesses and how they are managed:

Does your child have any significant food, medication, or environmental allergies that may require caution or emergency medical care during the BBNC Culture Camp?


If yes, please provide a detailed explanation of what the allergen is, how they react, and what action (Epi-Pen, allergy medicine, etc) is taken when it happens:

Does your child take prescribed medications?


If yes, please provide a detailed explanation:

Does your child require assistance to take the listed medications? If yes, please provide a detailed explanation:

Does your child use any special device(s) (i.e., hearing aids, cochlear implants, etc.)?

If yes, name the devices and any instructions:

The Youth's attitude and behavior are central to the success of the BBNC Culture Camp. All Youth at the BBNC Culture Camp must agree to:

  • Respect all participants, including other youth and adult staff and volunteers.
  • Act in a manner according to this Code of Conduct.
  • Avoid using foul, hurtful, or obscene language.
  • Avoid engaging in physical or verbal violence, bullying (including cyberbullying), or other aggressive behaviors that threaten the safety of others.
  • Appropriately represent themself in appearance, language, actions, and attire.
  • Have open and respectful interactions with those around them.
  • Abstain from smoking or vaping.
  • Abstain from using illegal or legal drugs or alcohol (including marijuana).
  • Respect the property rights of others.
  • Clean up all areas properly and return materials to their proper place after using them.
  • Listen carefully to others.
  • Be on time for activities.
  • Leave their cell phone in the designated cell phone area when going to the tent at night and during instructional times.


Inappropriate behavior, including violations of the Code of Conduct, will not be tolerated. If the inappropriate behavior continues, the Youth may be removed from the BBNC Culture Camp. If the Youth is sent home early due to misconduct, it will be the Parent/Guardian's responsibility to provide transportation regardless of the time of day or night. Any expenses incurred for being sent home early will be the Parent/Guardian’s responsibility.


By checking the box below, I acknowledge that:

  • I have discussed with the Code of Conduct with my child.
  • My child and I agree that my child will comply with the Code of Conduct.
  • I understand that inappropriate behavior or violations of the Code of Conduct may result in my child’s immediate removal at my expense.


I agree (check the box)

I authorize the person(s) listed below to transport my child to and from the BBNC Culture Camp if I am not available. For my child’s safety, I understand that all authorized persons listed below will be asked to show photo identification before my child is released to them. I will notify all authorized persons of this requirement so that they will be aware and prepared.


Name (First & Last) and relationship to Youth

For good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, My child and I, on my own behalf and on behalf of my child, grant to BBNC and any of its respective affiliated entities, agents, licensees, successors and assigns (BBNC) an irrevocable, nonexclusive, perpetual, world-wide, royalty-free, right, license and permission to broadcast, photograph, display, publish, reproduce, transmit, create derivate works from, transfer and otherwise use my child’s image, likeness, name, voice, and other identifying characteristics (Image) taken or gathered from my child’s participation in the BBNC Culture Camp by any photographs, videotapes, digital files, recordings, brochures, posters or any other medium now known or hereafter devised (Materials), whether Materials reflecting or embodying the Image currently exist or are created in the future, for all purposes, including, without limitation, in advertisements, public service announcements, social media postings, proposals, marketing materials, and websites. My child and I understand and agree that my child’s Image may appear in a composite character or form, and may be edited without my child’s and my permission or approval and without compensation owed to my child or me, and that my child and I will have no ownership interest in the Images or any Materials produced containing Youth’s Image. Youth and I also understand and agree that BBNC is not obligated to use Youth’s Image.


To the fullest extent permitted by applicable law , my child and I, on my own behalf and on behalf of my child, hereby forever release BBNC and its officers, directors, employees, agents, and advertisers from any and all claims associated with using my child’s Image or Materials derived therefrom, including, without limitation, claims arising from rights of publicity, rights or invasion of privacy, defamation, copyright, or trademark, and any and all claims arising out of any blurring, distortion, or alteration of my child’s Image, whether intentional or not.


I understand that BBNC is conducting activities in express reliance upon the foregoing. This Release shall be governed by the laws of the State of Alaska without regards to its conflict of laws provisions.


I have discussed this Photo/Video Authorization and Release with my child and provide my consent on my own behalf and on behalf of my child.


I agree (check the box)

I permit my child to participate in the 2025 BBNC Culture Camp and I am authorized to give this permission.


I agree that my child’s participation is entirely voluntary and based on my assessment of the risks involved, both foreseen and unforeseen. I understand that BBNC will make every effort to protect the welfare of my child; however, as the parent/guardian of my child, I am ultimately responsible for my child’s welfare and agree that BBNC staff is are not responsible for my child's physical, mental, social, and medical health and will not assume liability for injuries, death, or damages sustained in connection with participation in the BBNC Culture Camp.


I understand that my child’s participation in the program may terminate at my or BBNC’s request if my child’s behavior does not reflect the spirit of the program, creates a safety hazard or distraction for others, and/or does not follow the Code of Conduct.


I understand that I will be responsible for all costs (including return trip expenses) associated with arrival, departure, and early termination of the BBNC Culture Camp, whether requested by BBNC or me.


I agree (check the box)

I acknowledge that my child’s participation in the BBNC Culture Camp is potentially dangerous or hazardous, and could entail both known and unanticipated risks, any or all of which may result in disability, property damage, bodily and/or emotional injury, including death, to my child and/or to third persons.


Among the other risks and hazards to which my child might be exposed, I acknowledge that these risks could include, without limitation:

  • Flights in small planes with confined spaces to remote locations;
  • Transportation by small boats in open water, rivers, and streams;
  • Wading, fishing, or hiking along wilderness rivers, streams, and other water bodies;
  • Proximity to bears and other wild animals that may pose a threat to human safety;
  • Environments that are rugged, remote, and not regularly patrolled;
  • Exposure to air pollutants such as volcanic ash;
  • Weather that is unpredictable and potentially severe;
  • Sportfishing and other wilderness recreational activities that are inherently dangerous;
  • Proximity to boat motors, airplanes, fishing tackle, knives, and other potentially hazardous equipment;
  • Injuries, illnesses (including COVID-19), dehydration, exhaustion, allergic reactions that may be life threatening or fatal, hypothermia, and drowning;
  • Communication systems that may be intermittent, malfunctioning, or non-existent;
  • Emergency medical help, which may not be immediately available.
  • Failure by my child to follow instructions; and
  • My child’s exceeding his or her skills or physical condition.


I certify that my child is fully capable of participating in the activities of the BBNC Culture Camp, knowing and understanding the conditions, risks, and hazards listed above.


I certify that my child has no known medical or physical conditions, except as disclosed to the BBNC Culture Camp in writing, which could interfere with his or her safety participating in these activities. I agree to assume all costs that may directly or indirectly result from any known or unknown medical or physical condition that he or she may have.


I, ON BEHALF OF MYSELF AND ON BEHALF OF MY CHILD, ASSUME FULL RESPONSIBILITY FOR MY CHILD FOR THE RISK OF BODILY INJURY, DEATH, LOSS OF PROPERTY (INCLUDING MY CHILD’S OWN PERSONAL PROPERTY AND THAT OF BBNC), AND ANY EXPENSES INCURRED (INCLUDING RESCUE OR RECOVERY EXPENSES) THAT RESULT FROM THE INHERENT RISKS AND DANGERS THAT MY CHILD MAY BE EXPOSED TO OR DUE TO NEGLIGENCE.


I, ON BEHALF OF MYSELF AND ON BEHALF OF MY CHILD, AGREE TO RELEASE, WAIVE AND INDEMNIFY BBNC AND ITS SHAREHOLDERS, DIRECTORS, OFFICERS, EMPLOYEES, REPRESENTATIVES, AND AGENTS FROM ALL LIABILITY FOR ANY AND ALL LOSS OR DAMAGE ON ACCOUNT OF INJURY TO MY CHILD OR MY CHILD’S PROPERTY, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE WHILE PARTICIPATING IN THE ACTIVITIES PROVIDED BY BBNC.


I, ON BEHALF OF MYSELF AND ON BEHALF OF MY CHILD, ACKNOWLEDGE THAT I HAVE READ THIS ENTIRE DOCUMENT, UNDERSTAND IT, AND ACCEPT ITS TERMS. I FURTHER AGREE THAT THIS ACKNOWLEDGMENT OF RISK AND RELEASE IS BINDING ON MY AND MY CHILD’S HEIRS, SUCCESSORS, AND ANY CURRENT OR FUTURE PERSONAL OR LEGAL REPRESENTATIVES OF MY ESTATE. IF ANY PORTION OF THIS ACKNOWLEDGMENT OF RISK AND RELEASE ARE HELD INVALID, IT IS AGREED THAT THE BALANCE SHALL CONTINUE IN FULL FORCE AND EFFECT. THIS ACKNOWLEDGMENT OF RISK AND RELEASE SHALL BE GOVERNED BY THE LAWS OF THE STATE OF ALASKA.


I certify that I have discussed the risks of these activities with my child and have explained to my child the meaning of this acknowledgment, of risk and release, and that I have the authority to sign this acknowledgment of risk and release on behalf of myself and my child and his/her parents, guardians, heirs, successors, personal and legal representatives, and anyone else acting by or on behalf of my child.


I agree (check the box)

By typing my name below, I certify and agree that: (a) I am the parent/guardian of the youth set forth above; (b) I am authorized to provide consent on behalf of my child; (c) the information provided above is true and correct; and (dc) my electronic signature is intended to authenticate this BBNC Culture Camp Application, including all acknowledgments and releases, and to have the same effect as a manual signature.


Name of Parent/Guardian (First and Last)

I have read the BBNC Culture Camp Enrollment Packet and agree to abide by the Code of Conduct. I understand and consent to the Acknowledgment of Risk and Release and Photo/Video Authorization and Release. By typing my name below, I agree that my electronic signature is intended to authenticate this BBNC Culture Camp Enrollment Packet and to have the same effect as a manual signature.


Name of Youth (First and Last)

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