Summer Youth Program Application

BTG Camp L.E.T.’S. MOVE

2024 Summer Program Application
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Email
Student Age
Parent/Guardian Phone
What type of activities would you like to do at camp?