LIT term TWO

ARE YOU READY TO SIGN UP FOR ONE OF THE MOST IMPACTING summers OF YOUR LIFE? HERE WE GO!

General Information
Name *
Name
Address *
Address
Phone *
Phone
Doctor Phone *
Doctor Phone
Parent Name *
Parent Name
Parent Phone *
Parent Phone
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
If so, Who?!
If so, Who?!
We have great incentives for LIT's who invite other LIT's!
I hereby authorize the Katepwa Lake Camp medical officer to provide or secure medical services as may be deemed necessary for my child's health and safety. I will be informed immediately of any medical services that are required. I release Katepwa Lake Camp Inc. and anyone connected with it from any or all liability claims resulting from accident and/or misfortune. I agree that my child's image or likeness may be used in camp activitIes or promotional material ex. cabin skits, calendars, websites, etc. NOTE: Should this not be acceptable, please contact the Katepwa Lake Camp Director in writing before camp begins or by calling the KLC office at 1.306.332.4727
Payment Method *
If paying online, the payment option will appear as soon as you click 'SUBMIT"!