2021 Membership and Dues

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2021 Membership and Dues

2021 IABC Membership Dues

Step 1 of 2

50%

Please complete the following form to renew your IABC membership. Please note - these questions help ensure updated information about programming and contacts for your camp/organization each year. If you have technical issues, please contact us at iaburncamps@gmail.com
Please complete all items. Questions with an asterisk (*) require an answer. Please put "NA" or "None" if the question does not apply.
Parent Organization Name:*
Mailing Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website (you need to include http:// at the beginning of web address):*
State or Province where camp facility is located.*
Name of the camp facility.*
Camp Director Name:*
First Last
Camp Director Email:*
Camp Director Phone:*
Camp Alternate Contact Name:*
First Last
Please list the individual who is an alternate contact for your camp/organization.
Alternate Contact Person Title:*
Alternate Contact Person Email:*
Alternate Contact Person Phone:*
Summer Camp Program(s)*
Indicate the following for this question: 1. Summer Camp Name 2. Dates planned for 2021 3. Ages of Participants 4. Number of Average Participants If you currently don't have a summer program, please answer NA.
Winter Camp and/or Winter Activities*
Indicate the following for this question: 1. Winter Camp Name 2. Dates planned for 2021 3. List other winter activities and dates 4. Ages of Participants 5. Number of Average Participants If you currently don't have a winter program, please answer NA.
Young Adult or Adult Retreat/Camp*
Indicate the following for this question: 1. Name of Program 2. Dates planned for 2021 3. Ages of Participants 4. Number of Average Participants If you currently don't have a young adult or adult program, please answer NA.
Family Camp/Retreat*
Indicate the following for this question: 1. Camp or Retreat Name 2. Dates planned for 2021 5. Number of Average Participants If you currently don't have a family camp retreat, please answer NA.
Day or Weekend Trips*
Indicate the following for this question: 1. Type of Activities 2. Dates or Frequency 3. Ages of Participants 4. Number of Average Participants If you currently don't have scheduled day or weekend trips, please answer NA.
Burn Survivor Engagement Activities
Indicate the following for this question: 1. Type of Burn Survivor Activities (Social, Recreational, Theraputic) 2. Dates or Frequency 3. Ages Served If you currently don't have any burn survivor engagement activities planned, please answer NA.
Indicate other types of programs or services you provide to burn survivors and their families. Please select all that apply:*
- Support Group
- Educational Scholarships
- Newsletter
- Other
- NA
If you have additional programs/services please list here.*

In accordance with the by-laws, in order for a camp to be considered for membership in the IABC, it must meet the criteria listed below. Please indicate that your camp meets this criteria by selecting the “Agreed” button. If you are unable to answer “Agreed” you need to contact the IABC board to discuss further. The camp or its parent organization designee should answer the below questions.
The applicant camp asserts the following:
Indicate the type(s) of medical personnel with such training who regularly serve as camp counselors. Please select all that apply:*
- Physician / Physician Assistant
- Nurse / Nurse Practitioner
- Social Worker
- Psychiatrist / Psychologist
- MFT / LCSW
- Physical / Occupational Therapist
- Play / Recreational Therapist
- Child Life Specialist
- CMHC / LPC,
Indicate the accrediting organization for your camp.*
- American Camping Association
- Canadian Camping Association
- Other
- No accreditation
If other, please list here.*
Indicate the accrediting organization for the camp facility:*
- American Camping Association
- Canadian Camping Association
- Other
- Do not use a camp facility
- No accreditation
If other, please list here.*
If you do not use a camp facility, please describe your camp location.*
1. We provide to participants a camp program specifically for burn survivors and/or their families that assists in the recovery from injury by supporting their physical, social, and psychosocial needs.*
- Agreed
2. The camp program meets or exceeds the standards set forth in your state for youth safety/protection; this includes but is not limited to yearly background checks, abuse prevention training and predator identification training .*
- Agreed
3. No burn survivors and/or their families will be denied participation in any camp or related programs solely because of an inability to pay any and all fees associated with such a camp or related programs.*
- Agreed
4. An identified director(s) is substantially responsible for the organization and administration of the camp. (Their name should be listed in earlier portion of form.)*
- Agreed
5. Does your camp send representation to ABA?.*
- Yes
- No
- Not Sure Yet
6. If Yes, do your representatives attend the Burn Camp SIG or other IABC sponsored events?
- Yes
- No
7. Do you plan to send camp representatives to the IABC Workshop in 2021?*
- Yes
- No
- Not Sure Yet
8. Do you plan to send camp representatives to the Phoenix Society World Burn Congress in 2021?
- Yes
- No
- Not Sure Yet
9. Are there any specific topics you'd like to hear about at the 2021 ABA meeting or IABC Workshop?
10. Are you interested in becoming more involved with the IABC, such as serving on a committee or becoming a board member?*
- Yes
- No
- Maybe
- Currently Serving
This is to certify the camp noted in this form is submitting their application to the International Association of Burn Camps and hereby declares that the information provided and assertions made in this application are true, correct, and complete. Additionally, any misstatements or omissions of fact shall be considered a cause for denial of membership or revocation of membership at the Board’s sole discretion. At anytime there is a change in status to any of the assertions contained above and the camp is no longer in compliance with the by-laws, the Board of the IABC must be notified immediately. Failure of the applicant camp to maintain compliance with the by-laws shall be considered a cause for denial of membership or revocation of membership at the Board’s sole discretion.*
- Agreed
Thank you for your continued support of the burn community!
Payment Type*
- Check ($150.00)
- PayPal ($150.00)
If you are paying by check please contact Kristen Quinn at kristen.quinn@hsc.utah.edu to make arrangements for an invoice upon completion of the membership renewal. If you are using PayPal, a PayPal account is not required to process the transaction.
2021 ABC Membership Dues*
Price: $150.00
Financial Assistance
If your organization is in need of financial assistance to pay your 2021 IABC Membership Dues, please contact the IABC Board at iaburncamps@gmail.com

About IABC

The International Association of Burn Camps (IABC) provides a network for the mutual benefit of local and regional organizations that serve the burn community. We seek to support the physical, social, and psychological needs of burn survivors and their families. More
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IABC Organization Disclaimer

This is the official website for the International Association of Burn Camps (www.iaburncamps.org). This site is provided as a resource for information about burn camp programs that are current members of the association. Although it is the intention of the IABC to provide the most current information about these programs, please note the information contained in this site is offered as general information, which may be incomplete or outdated. The inclusion of links to programs, services or information does not imply endorsement from the IABC. Therefore, it is up to the user to independently verify any and all information regarding programs, services, or information found herein to make their own determination.

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2021 Membership and Dues

2021 IABC Membership Dues

Step 1 of 2

Please complete the following form to renew your IABC membership. Please note - these questions help ensure updated information about programming and contacts for your camp/organization each year. If you have technical issues, please contact us at iaburncamps@gmail.com

Thank you for your continued support of the burn community!

About IABC

Recent Blog Entries