Leader In Training 2019
This form is for registration of candidates who have been invited to take place in the PCWC LIT program
Personal Information
Please tell us a bit about who you are
Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
Age *
Your answer
Birthday *
MM
/
DD
/
YYYY
Gender *
Medical Health Card Number *
Your answer
Parent's Names and Phone Numbers *
Your answer
Are you in School?
If yes, what grade are you in?
Your answer
If No, what is your current occupation?
Your answer
What was the last PCWC camp you attended? *
Your answer
Who was the director? *
Your answer
Do you have any allergies or dietary needs?
Your answer
Do you have any physical limitations, disabilities or any other health problems that may affect your ability to work at camp? *
Your answer
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