Camp Phoenix 2020 CIT Registration Form
Please complete all sections. ***Please see new CIT program structure on the "CIT Program" page of our website. It is now a two year program!!***
Email address *
CIT's First Name: *
Your answer
CIT's Last Name: *
Your answer
Age While at Camp: *
Your answer
Name of Parent(s) or Guardian(s): *
Your answer
E-mail Address of Parent(s) or Guardian(s): *
Your answer
Phone Number of Parent(s) or Guardian(s): *
Your answer
Is there anything about your child's physical or emotional development which is necessary for us to know in our daily dealings with your child? *
Your answer
Does your child have any kind of allergy? If so, to what? *
Your answer
How severe is the reaction?
Your answer
Does he/she require medication for any of the above? *
Is he/she on any type of medication? *
Explain medications if needed:
Your answer
Please check all weeks that your child plans to attend. (You can always add weeks as the summer goes on.) *Note: Camp will begin Tuesday, June 16th. *
Required
Please indicate shirt size (adult): *
Important Information:
Please do not send any medication to camp. Please plan to give your camper medication before and/or after the camp day. Any exceptions to this regulation must be cleared by the camp office. Any serious sensitivities should be brought to the attention of the camp directors prior to the camper's first day. Any attempt to conceal pertinent medical or emotional information will result in the immediate dismissal from camp and loss of all camp fees.
CIT Program Fees
Registration Fee - $40 (annual rate, includes 5 CIT shirts)
Weekly Rate - $50 (first year), $25 (second year)

Payment must be made in full prior to the start of the camp week. Camp fees are not refundable or transferable.
*ALL CHECKS SHOULD BE MADE OUT TO CAMP PHOENIX. ON THE CHECK PLEASE INDICATE WHAT FEES ARE INCLUDED. (Registration, Week Number, Subway, Night Out, etc.)
Today's Date: *
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