2019 Middle School Debate Camp - Student Application
This Camp is available to those students who currently attend a Baltimore City school-wide title one school and are in 6th, 7th or 8th grade.

To have your child participate in this year's Middle School camp please complete and submit the application below by Friday, June 15, 2019. If you have any questions regarding this application, please contact EMS program manager Toby at 410-752-2835 x 106 or by email toby@budl.org. We look forward to receiving your application! Middle School Camp is limited to 80 total students. Please apply as soon as possible! You will receive an email verifying your acceptance!

Preferred School Site (MTA Passes will be provided after Day 1) *
Student Information
Student First Name *
Your answer
Student Last Name *
Your answer
Student Phone Number
Your answer
Home Address *
Your answer
City *
Your answer
Zip Code
Your answer
What school did your child attend during the current (2018-2019) school year? *
Your answer
What school will your child attend in the next (2019-2020) school year? *
Your answer
Student ID/SASI *
Your answer
What grade is your child currently in? *
Birth Date *
Your answer
Gender
Your answer
Race/Ethnicity (optional)
Your answer
Student T Shirt Size
Media Release *
Do you give permission for BUDL to use photos or video of your child for league publicity, such as on our Facebook page, webpage, newsletters, or in brochures/publications?
Parent/Guardian Contact Information
Parent or Guardian Name *
Your answer
Parent or Guardian E-mail Address *
Your answer
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Primary Phone Number *
Your answer
Alternate Phone Number
Your answer
Student Debate Experience
Has your child ever participated on his/her school's debate team? *
Did your child attend any BUDL tournaments last year? *
How many BUDL tournaments did your child attend during the 2018 - 2019 season?
What division was your child in for his/her last tournament? *
Did your child attend BUDL debate camp last summer? *
Summer Camp Student Code of Conduct
Parents/Guardians - Please read this code of conduct with your child and ensure you and they understand the expectations.

All BCPSS policies are in effect during summer camp. Students must:
(1) Show courtesy and respect toward others and property at all times.
(2) Dress appropriately at all times.
(3) Use appropriate language.

Statement of Disciplinary Action
The following are examples of disciplinary action which may be taken in the event that the Code of Conduct, school policies, or district policies are not followed:
(1) Sent home immediately at parent/guardian's expense.
(2) Placed in timeout/in-camp suspension.
(3) Referred to school administration.

STUDENT AGREEMENT: I, the student, understand the conditions of the code of conduct. *
Please check below that you understand, Yes or No.
Student Signature
Please type your name below, as your signature, to indicate you have read and understood the code of conduct.
Your answer
PARENT/GUARDIAN AGREEMENT: I understand the conditions of the code of conduct. *
Please check below that you understand, Yes or No.
Parent/Guardian Signature
Please type your name, as your signature, below to indicate that you have read and understood the code of conduct.
Your answer
Medical Information and Release
We are requesting this information, which will be kept strictly confidential, in order to ensure your child's safety throughout the duration of our camp.
Medical Insurance Provider
Your answer
Policy or ID Number
Your answer
Health Disclosure *
Please note any health concerns such as allergies (please specify), hemophilia, diabetes, heart disease, etc. Also list special dietary needs/restrictions, food allergies, etc. If none, please type "none."
Your answer
Family Doctor/Primary Care Physician
Your answer
Phone Number of Doctor/Primary Care Physician
Your answer
Emergency Contact
In case of emergency when you cannot be reached by phone who would you like us to call as your alternate? *
Provide full name, other than you, below.
Your answer
Emergency contact's relationship to student
Your answer
Phone Number *
Your answer
Transportation to Camp Survey
Please indicate your transportation plans to camp.
Referral Information
Please help us know how you find information about BUDL by filling out this portion of the application, so that we may continue to communicate effectively with you you and your child.
How did you hear about this year's camp? *
Required
If you heard about camp from a friend, please list his or her name below.
Your answer
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