LIT Retreat Weekend Registration Page

Name*
First Last
Best Phone Number*
Best Email Address*
What excites you most about the LIT Retreat? What are you hoping to get out of it? Do you have any questions or concerns about the LIT program that you hope we address during the weekend?*
Will you need to arrive late or depart early? If yes, please explain.*
Medical Information
Emergency Contact Name*
First Last
Emergency Contact Best Phone Number*
Do you have any allergies? If yes, please list the allergen and explain the reaction and treatment?*
Do you have any health conditions that will require treatment at camp? If yes, please list the condition and explain any possible treatments at camp. Please include any medications you will need to take at camp.*
Will you have any activity restrictions at camp? If yes, please list the restriction and explain any accommodations needed for participation.*
Do you have any special dietary needs?*
- None
- Vegetarian
- Vegan
- Dairy-Free
- Gluten-Free

Medical Information