CIT Application Name* First Last Address* Street Address Address Line 2 City State / ProvinceAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Age*Grade*Please tell us a little bit about yourself and why you would like to participate in the BookTrails CIT program (describe any of your skills, hobbies, or interests)*What would you like to learn/ take away from the program?*If you’ve done a BookTrails camp in the past, what were some of your favorite experiences at camp?*If you wish to be paired with a friend during your CIT week, please list their name:*Please list 2 references and their contact information (teachers, coaches, family friends, etc)*Please indicate your top two camp choices: July 12-16 – Ultimate Survival I, July 19-23 – Camp Wild, August 2-6 – Ultimate Survival II*CAPTCHA We will contact you for a short phone interview once we have reviewed your application. Thank you!