Counselor In Training (CIT) Registration
Email address *
CIT's Last Name *
Your answer
CIT's First Name *
Your answer
CIT's Age during 2019 Summer *
Your answer
Address *
Your answer
Parent / Guardian First and Last Name (Primary) *
Your answer
Primary Mobile Phone Number *
Your answer
Primary Email Address *
Your answer
Parent / Guardian First and Last Name (Secondary)
Your answer
Secondary Mobile Phone Number
Your answer
Secondary Email Address
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Secondary Emergency Contact Name *
Your answer
Secondary Emergency Contact Phone Number *
Your answer
CIT's Food Allergies *
Please describe symptoms. If none, write "None".
Your answer
Health Issues / Concerns *
Your answer
Daily Medication
Your answer
Is there any additional information we should know about your CIT? *
Your answer
T-Shirt Size *
Person(s) Allowed To Pick Up CIT *
We can only release your Counselor In Training to those on this list. Anyone else must be called in by the parent and arrive with a photo ID.
Your answer
How did you hear about the CIT position?
Your answer
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