YOUTH APPLICATION
YOUTH LIABILITY WAIVERS
CALENDAR
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Youth Application
All fields are required.
Basic Information:
First Name
Last Name
Date of Birth
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Select Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Select Year
1994
1995
1996
1997
1998
1999
2000
2001
2002
Grade:
Please Select
7
8
9
10
11
12
Not in School
School:
Please Select
Belgrade Middle School
Belgrade High School
Chief Joseph Middle School
Sacajawea Middle School
Bozeman High School
Bridger Alternative School
Ophir Middle School
Lone Peak High School
Home Schooled
Not in school
Other
Contact Information
Phone
(
)
-
Email
Street
City
State:
Select
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
zip
Parent / Guardian Information
Name
Relationship:
Please Select
Mom
Dad
Grandparent
Foster Parent
Other
Please specify:
Phone
(
)
-
Email
Youth Survey
Do you use alcohol and/or drugs?
Please Select
Yes
No
Do you have access to guns and/or weapons?
Please Select
Yes
No
Do you think the laws in our community are too strict?
Please Select
Yes
No
Do you think there is too much violence on TV?
Please Select
Yes
No
Have you had to move several times?
Please Select
Yes
No
Is your neighborhood a safe place that you like?
Please Select
Yes
No
Is money an issue for your family?
Please Select
Yes
No
Does your family have a history of getting into trouble?
Please Select
Yes
No
Do your parents/guardians do a good job raising you?
Please Select
Yes
No
Is there a lot of conflict in your family?
Please Select
Yes
No
Are your parents/guardians a positive influence in your life?
Please Select
Yes
No
Have you had trouble succeeding in school?
Please Select
Yes
No
Are you committed to finishing high school?
Please Select
Yes
No
Do you get along with others easily?
Please Select
Yes
No
Do you get into trouble a lot?
Please Select
Yes
No
Do you have friends who get into trouble?
Please Select
Yes
No
Do you think it's cool to be in trouble?
Please Select
Yes
No
Have older friends encouraged you to do the wrong thing?
Please Select
Yes
No
Have you ever been suspended or expelled from school?
Please Select
Yes
No
Have you ever been in trouble with the law?
Please Select
Yes
No
How did you learn about BYEP?
Youth Outdoor Experience
Describe your outdoor interests and experience.
Youth Personal Statement
Why do you want to join BYEP?
What strengths will you bring to BYEP?
Remember all fields are required!
Follow Us Online:
PHONE: 406-539-0399
P.O. Box 6757
Bozeman, MT 59771
EMAIL:
info@byep.org
