2026 CREA Camp CIT Registration Form

2026 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 NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Gender + Preferred Pronouns*
Rising Grade Level*
T-Shirt Size*
Parent/Guardian*

First NameLast Name
Relationship to CIT*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Second Parent/Guardian

First NameLast Name
Relationship to CIT
Email
example@example.com
Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Information*

First NameLast Name
Relationship to CIT*
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Other than those listed above, who is approved to pick up your child from camp?*
Which is your CITs preferred session?*
CITs are required to commit to the 2 full week session to be considered.
What is your CITs 2nd preferred session?
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
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.

$335.00

Total

$0.00
Signature*

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Date*

MonthDayYear
Date
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