LIT Grange Hill Summer Camp

Grange Hill East LIT Application

Welcome! Submit applications for Leaders in Training (LITs). All applicants must be between the ages of 12 and 15. If you are interested in registering your child (ages 4-11) for camp, please go back to the main page. There is a separate form for day camp participants
Registration limit: For now, please only register each LIT for two (2) weeks max. If you want to sign up for addtional weeks, please join the waitlist. After families have had two weeks to register, we will open up the waitlist.
1. Date(s) for Camp Registration

Start by selecting your preferred date(s). Only one participant may be registered at a time.
Participant's age prior to the first day of camp*
Ages 12-13 register as LIT 1; Ages 14-15 register as LIT 2.
1a. LIT Registration - $70.00 per week. Short week $55.00

Day camps operate from 9:00 a.m. to 4:00 p.m. Please drop off your child no earlier that 8:50 a.m. If you have questions about our age categories, please review our Frequently Asked Questions (FAQ's) section on our camp page.
Week 1: July 6 to 10. LIT
Week 2: July 13 to 17. LIT
Week 3: July 20 to 24. LIT
Week 4: July 27 to 31. LIT
Week 5: Aug 4 to 7 (short week). LIT
Week 6: Aug 10 to 14. LIT
Weeks selected for camp
Wk 1 ($70)
Wk 2 ($70)
Wk 3 ($70)
Wk 4 ($70)
Wk 5 ($55)
Wk 6 ($70)
Subtotal 1: Weeks of Camp
$ CAD

1b. Extended Care Registration - $10.00 per week (flat rate per week)

Extended care allows drop-off no earlier than 8:30 a.m. with pick-up no later than 4:30 p.m.
- Week 1: Extended Care. (8:30 to 4:30)
- Week 2: Extended Care. (8:30 to 4:30)
- Week 3: Extended Care. (8:30 to 4:30)
- Week 4: Extended Care. (8:30 to 4:30)
- Week 5: Extended Care. (8:30 to 4:30)
- Week 6: Extended Care. (8:30 to 4:30)
- Weeks selected for extended care:
- Wk 1 Care
- Wk 2 Care
- Wk 3 Care
- Wk 4 Care
- Wk 5 Care
- Wk 6 Care
- Subtotal 2: Extended Care
  $ CAD

1c. Waitlist Request

If you would like to be registered for more than two weeks, or all slots are filled for your preferred week of camp, please add yourself to the waitlist.
- Week 1 (July 6-10)Week 2 (July 13-17)Week 3 (July 20-24)Week 4 (July 27 -31)Week 5 (Aug 4-7, short week)Week 6 (Aug 10 -14)

2. Participant Information
Participant (Camper) Information
Participant's Name*

First NameLast Name
She/herHe/hisThey/themOther
Birth Date*

MonthDayYear
Does your child have any allergies or medical conditions? If yes, please describe.*
Please enter "none" if not applicable
Does your child have any medical/behavior related notes?
You may enter additional information here
Does your child require additional support to ensure a positive experience? If yes, please explain
Please enter "none" if not applicable

4. Emergency Contact & Agreement
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact phone number*
Format: (000) 000-0000.
Emergency Contact alt. phone number
Format: (000) 000-0000.
Name and number of people authorized to pick up your child.
Additional parent/guardian names & numbers + names & contacts of of those authorized to pickup your child/children
5. Informed Consent and acknowlegement
YesNo
YesNo

6. LIT Information

LITs, help us get to know you! If possible, answer in your own words.
What interests you (your child) most about becoming an LIT? *
Do you have any special skills or interests you can let us know about? *
If you have been an LIT or camper before, what are your favourite activities?
Youth Medium (10-12)Youth Large (14-16)Youth XL (18)Adult SmallAdult MediumI have an LIT T-shirt from a prior year I would like to useOther

7. Payment Information

Customer and Payment Information
Weeks of Camp Registered
Subtotal 1: Value of Camp
$ CAD for weeks of camp registered
Weeks of Extended Care Registered
Subtotal 2: Value of Extended Care
$CAD for weeks of extended care
TOTAL 1: Total owing if paying by E-transfer or Subsidy
$ CAD
Credit Card. $5 payment processing fee will be added per week of camp. If you are only on the waitlist, please do not pay by credit card.E-transfer. Refer to https://www.gheng.ca/camps/#camp-information for payment details.Subsidy (e.g. Free to Grow)I'm only applying for the waitlist at this time
Subtotal 3: Additional amount owing if paying by credit card/debit
$ CAD. Includes a $5.00 fee for every week of camp chosen.
Total 2: Total owing + Subtotal 4 (Hidden)
$ This amount will be shown at credit card checkout.

Payment notes (hidden)
Notes:
If a sibling is registered, it is helpful to know here. This section can also be used to indicate a subsidy provider (incl. amount approved) or any other questions/comments
Confirmation

PRESSING "SUBMIT" IS CONSIDERED AN E-SIGNATURE. THIS WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE AND WILL BE AS EQUALLY BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

You will be emailed a camp receipt

You will be emailed a payment receipt from Square if you payed by credit card.
Should be Empty:

Grange Hill East LIT Application