CREA Camp CIT Registration Form
Please complete one form for every CIT in your household. In addition, CITs must complete an application to be considered. You can find the application on our website at btlt.org
CIT Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Gender + Preferred Pronouns
*
Rising Grade Level
*
T-Shirt Size
*
Parent/Guardian
*
First Name
Last Name
Relationship to CIT
*
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Second Parent/Guardian
First Name
Last Name
Relationship to CIT
Email
example@example.com
Address (If different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Emergency Contact Information
*
First Name
Last Name
Relationship to CIT
*
Phone Number
*
Please enter a valid phone number.
Other than those listed above, who is approved to pick up your child from camp?
*
Which is your CITs preferred session? (Session 1 does have a week off in between volunteer weeks)
*
Please Select
Session: June 23-27 + July 7-11
Session 2: July 14-July 25
Session 3: July 28- August 8
CITs are required to commit to the 2 full week session to be considered.
What is your CITs 2nd preferred session?
Please Select
Session: June 23-27 + July 7-11
Session 2: July 14-July 25
Session 3: July 28- August 8
Camp Scholarships
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Contribute to Scholarship Fund
BTLT has the goal of providing 24 scholarships this summer. Will you help us reach our goal?
$
25.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Full Scholarship
BTLT has the goal of providing 24 scholarships this summer. This donation will cover the cost for an entire week of camp for one camper.
$
315.00
Signature
*
Date
*
-
Month
-
Day
Year
Date
Continue
Continue
Should be Empty: