JCC Camp Chi Alumni Census
Thank you for helping us capture 100 years of Camp Chi Alumni information! Please share your contact information below so we can stay in touch with the latest news and opportunities happening at Camp Chi. We hope your participation in this census will help rekindle bygone Camp Chi friendships.
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First Name *
Last Name *
Nickname
Maiden Name, formerly know as (if applicable)
Gender *
What are your pronouns?
Birthday
MM
/
DD
/
YYYY
Address *
City *
State/Province *
Zip/Postal Code *
Country *
Email *
Cell Phone Number *
Home Phone
Work Phone
Occupation/Company/Industry
CIT/SIT Year (if applicable)
SIT Staff Year (if applicable)
Years attended Chi as a Camper
Years attended Chi as Staff
Would you have any interest in serving on a Camp Chi Covid-19 task force made up of medical professionals and other professionals with relevant experience?
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Do you have a spouse? *
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