2020 Staff/CIT Interest
Use this form to submit contact information to be notified when 2020 Camp Workcoeman Staff and CIT applications become available.

Feel free to keep in touch in the off season!
-Tom!
tleisten@campworkcoeman.org

Name *
Your answer
Troop - N/A if not affiliated *
Your answer
Council - N/A if not affiliated *
Your answer
Birthdate
MM
/
DD
/
YYYY
Email address
Your answer
Phone
Your answer
Mailing address - Street, Town, State, Zip Code
Your answer
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