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JCC Camp Chi Alumni Census
Thank you for helping us capture over 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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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Nickname
Your answer
Maiden Name, formerly know as (if applicable)
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
What are your pronouns?
Your answer
Birthday
MM
/
DD
/
YYYY
Address
*
Your answer
City
*
Your answer
State/Province
*
Your answer
Zip/Postal Code
*
Your answer
Country
*
Your answer
Email
*
Your answer
Cell Phone Number
*
Your answer
Home Phone
Your answer
Work Phone
Your answer
Occupation/Company/Industry
Your answer
CIT/SIT Year (if applicable)
Your answer
SIT Staff Year (if applicable)
Your answer
Years attended Chi as a Camper
Your answer
Years attended Chi as Staff
Your answer
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?
Yes
No
Other:
Clear selection
Do you have a spouse?
*
Yes
No
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