2021 LIT Registration Form

This form must be filled out by both parent and applicant.

LIT Information

* Indicates required field

LIT Applicant's Name *

Age: *

Sex: *

Male Female

Date of Birth (DD/MM/YYYY): *

Email *

Phone Number: *

Address: *

City: *

Postal Code: *

LIT Applicant must fill in the next boxes

Who is Jesus to you? *

Why do you want to be a LIT at camp? *

What area would you like to work at camp? We will try to put people where they would like to go but there is limited room in each position so if there is not room in your choices applicants will be asked to work somewhere else.

First Choice *

Second Choice *

Parent/Guardian must fill in following information

Parent/Guardian Name (first/last): *

First

Last

Home Phone: *

Work Phone: *

Cell Phone: *

Medical Information of applicant

Allergies: *

Health Card Number: *

Emergency Contact Name: *

Emergency Contact Phone: *

Emergency Contact Relation to LIT Applicant: *

I hereby give permission for the person registered via this form to participate in all activities, to have
photographs taken of them for advertising purposes, and to receive emergency medical treatment if
necessary.

Check to give permission: *

I give Permission:

Comment *

Submit

Sign up today!

July 12-16, 2021
8:30am - Noon

This form must be filled out by both parent and applicant.

LIT Information

LIT Applicant must fill in the next boxes

Parent/Guardian must fill in following information

​Sign up today!

July 12-16, 2021​8:30am - Noon

This form must be filled out by both parent and applicant.

LIT Information

LIT Applicant must fill in the next boxes

Parent/Guardian must fill in following information

Sign up today!

July 12-16, 2021
8:30am - Noon