2025 BBNC Culture Camp Application

2025 BBNC 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 young adults will take place August 13-17, 2025, on the shores of Qizhjeh Vena (Lake Clark), Alaska.

Who is Eligible?

BBNC shareholders and descendants ages 18-26.

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!

Applicant Name (First & Last)*

Preferred Name

Do you have a Native name?*

Select or enter value

Hoodie Size*

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

Select or enter value

Community Applicant Resides In*

Address, town name and ZIP code*

Applicant Email Address*

Applicant Phone Number*

Phone

Applicant Age*

Your age when at camp (must be between the ages of 18-26)

Select or enter value

Is the Applicant a BBNC Shareholder?*

Yes

Is the Applicant a BBNC Shareholder Descendant?*

If yes, please list the name of the BBNC shareholder and their relationship to you. If you are a BBNC shareholder, write “N/A”.

Applicant Interview Questions

Please provide answers to the following questions.

Tell us about yourself (i.e. hobbies, interests, goals, etc.).

Why is participating in this camp important to you?

What do you hope to learn or gain from this experience?

How will you share what you’ve learned with others?

What language are you interested in learning at camp?

Dena’ina (Athabascan)

Sugt’stun (Alutiiq/Sugpiaq)

Yugtun (Yup’ik/Yupiaq)

Have you been a participant at a previous BBNC Culture Camp?*

Yes

If yes, how many times?

One time

Two times

Three times

Emergency Contacts, Authorization for Emergency, and Medical History

Primary Emergency Contact*

Name (First & Last) and phone number, and relationship to you

Emergency Medical Treatment*

While I am at or am 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 my welfare by a licensed emergency medical technician or medical professional. In addition to such authorization and consent:

I give permission to BBNC to share my 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 my Emergency Medical Treatment, if any. (In the event of a volcanic eruption resulting in free-falling ash) N95 masks will be provided.

I understand and acknowledge that Emergency Medical Treatment and the associated results may vary depending on the seriousness of the injury or illness, my 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 acknowledge that BBNC does not provide accident medical insurance for me during my participation in the BBNC Culture Camp and that I may independently submit claims for Emergency Medical Treatment to my own insurance company.

I UNDERSTAND AND ACCEPT THE RISKS ASSOCIATED WITH SUCH EMERGENCY MEDICAL TREATMENT AND ANY DELAYS CAUSED BY THE LOCATION OF THE EMERGENCY AND I 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 agree (check the box)

Allergies*

Do you have any significant food, medication, or environmental allergies that may require emergency medical care during the BBNC Culture Camp?:

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

Existing Medical Needs*

Please specify any existing serious or severe illnesses or accidents and how they are managed:

Physician Information

Physician’s name, phone number, and office address

Health Insurance Information

Health Insurance Company Name, Phone, Policy Number, Group Number, and Name Of Policy Holder

Recommendation

Each Applicant 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 you, such as a teacher, counselor, community leader, employer, etc. Please provide information about the individual who will be providing the recommendation for Culture Camp. A separate recommendation form will be provided to the individual via email and must be completed for your application to be considered.

Recommender's Name (First & Last)*

Recommender’s Role in Your Life*

Recommender's Phone

Phone

Recommender's Email

Code of Conduct*

Your attitude and behavior are central to the success of the BBNC Culture Camp. All Campers at the BBNC Culture Camp must agree to:

Respect all participants, including other campers, 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 yourself in appearance, language, actions, and attire.
Have open and respectful interactions with those around you.
Abstain from smoking or vaping in or around any camp structures and camp grounds.
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.
Ask permission before recording activities while at camp.

Inappropriate behavior, including violations of the Code of Conduct, will not be tolerated. If the inappropriate behavior continues, you may be removed from the BBNC Culture Camp. If you are sent home early due to misconduct, it will be your responsibility to provide transportation regardless of the time of day or night. Any expenses incurred for being sent home early will be the ypur responsibility.

By checking the box below, I acknowledge that:

I agree to comply with the Code of Conduct.
I understand that inappropriate behavior or violations of the Code of Conduct may result in my immediate removal at my own expense.

I agree (check the box)

Photo/Video Authorization and Release*

For good and valuable consideration, the sufficiency and receipt of which is hereby acknowledged, I 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 image, likeness, name, voice, and other identifying characteristics (Image) taken or gathered from my 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. I understand and agree that my Image may appear in a composite character or form, and may be edited without my permission or approval and without compensation owed to me, and that I have no ownership interest in the Images or any Materials produced containing my Image. I also understand and agree that BBNC is not obligated to use my Image.

To the fullest extent permitted by applicable law, I hereby forever release BBNC and its officers, directors, employees, agents, and advertisers from any and all claims associated with using my 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 the 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 read this Photo/Video Authorization and Release and provide my consent.

I agree (check the box)

Consent to Participate*

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

I agree that my 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 my welfare; however, BBNC staff are not responsible for my 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 am responsible adult and legally responsible for my own welfare.

I understand that my participation in the program may terminate at my or BBNC’s request if my 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)

Acknowledgment of Risk and Release*

I acknowledge that my 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 me and/or to third persons.

Among the other risks and hazards to which I 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;
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 me to follow instructions:
Exceeding my skills or physical condition; and
Exposure to air pollutants such as volcanic ash.

I certify that I am 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 I have no known medical or physical conditions, except as disclosed to the BBNC Culture Camp in writing, which could interfere with my 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 I may have.

I ASSUME FULL RESPONSIBILITY FOR MYSELF FOR THE RISK OF BODILY INJURY, DEATH, LOSS OF PROPERTY (INCLUDING MY 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 I MAY BE EXPOSED TO OR DUE TO NEGLIGENCE.

I 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 ME OR MY PROPERTY, WHETHER CAUSED BY NEGLIGENCE OR OTHERWISE WHILE PARTICIPATING IN THE ACTIVITIES PROVIDED BY BBNC.

I 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 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 read the risks of these activities and understand 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, heirs, successors, personal and legal representatives.

I agree (check the box)

Participant Acknowledgment*

I have read the BBNC Culture Camp Application 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.

By typing my name below, I certify and agree that: (a) I am a responsible adult; (b) the information provided above is true and correct; and (c) my electronic signature is intended to authenticate this BBNC Culture Camp Application Packet and to have the same effect as a manual signature.

Name (First and Last)

Date Acknowledged*

Form Submitted By*

First and Last

Email of Person Submitting This Form*

Send me a copy of my responses

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