Camp Adult Information Form

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Longhorn Council, Boy Scouts of America
Texas High Adventure Base
Camp Adult Information Form
– for adults 18 and older
ADULTS 18 and older ONLY: Please complete all 3 items below to meet state requirements for adults at camp and turn in to the
Camp Director on arrival at camp. The state requires camp directors to keep signed hard copies of the information on the Camp Adult
Information forms for each adult in camp.
Camp _______________________________________ Dates _________________ Troop / Crew # __________
(circle one)
Name_________________________ Address:______________________ City______________ State_____ Zip_______
Date of Birth:_______________
1. Adult Background Checks
State law requires every adult camper to have a criminal background check and a sex offender background check. Texas Department
of Public Safety provides a free sex offender background check as part of the Texas Sex Offender Registration Program.
Please go to the Sex Offender Registration Program on the Texas DPS records website and perform a check for each adult attending
camp (18 and older). Go to this website and click on the link for Texas Public Sex Offender Registry
https://records.txdps.state.tx.us/DpsWebsite/Index.aspx
Attach a printout of each check to the Texas Adult Information Form and then send to the Camping Registrar at the Longhorn Council
office. This covers the Texas requirement for sex offender background checks. The registrar will perform a separate criminal
background check. For last minute reservations, please bring the completed form and checks to camp and turn in to the camp director.
I certify that the information above is correct. Signature:_____________________________________
Date:____________
Camp Director Use Only:
2. Youth Protection Training Card
Attach a photocopy of your “Youth Protection Training” card from the 2012 Texas-approved BSA’s Online
YPT course. Texas law states that all adults who attend camp must obtain Youth Protection Training. YPT is
good for 2 years. If you obtained a YPT card last year, you must provide a copy of it with this form.
NOTE: Currently, the State of Texas has approved ONLY the BSA Classroom YPT course for adults attending Texas camps. The BSA
Online YPT course if not currently accepted for adults attending Texas youth camps.
3. Character Reference
A. Attach a photocopy of your current BSA member card to this form, if you are registered in BSA. This serves
as your character reference!
- - - - - - - - OR - - - - - - - -
B. If you are not registered in BSA (or cannot find your card) just ask another adult in your unit or in your
church or community to complete the lines below for your character reference.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - -
To Whom It May Concern:
I, ________________________________, attest to the character and integrity of ______________________________________
PRINT name
PRINT name of adult attending for Camp
to properly supervise youth under the age of 18.
__________________________________
____________
______________________________________
Signature
Date
Relationship to camp attendee
Reference Person Contact info:
Phone____________________ Address _______________________________ City________________ State___ Zip_______

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