Camp Phoenix 2021 CIT Registration Form
Please complete all sections. ***Please see new CIT program structure on the "CIT Program" page of our website. It is now a two year program!!***
Email address *
CIT's First Name: *
CIT's Last Name: *
Age While at Camp: *
Name of Parent(s) or Guardian(s): *
E-mail Address of Parent(s) or Guardian(s): *
Phone Number of Parent(s) or Guardian(s): *
Is there anything about your child's physical or emotional development which is necessary for us to know in our daily dealings with your child? *
Does your child have any kind of allergy? If so, to what? *
How severe is the reaction?
Does he/she require medication for any of the above? *
Is he/she on any type of medication? *
Explain medications if needed:
Please check all weeks that your child plans to attend. (You can always add weeks as the summer goes on.) *
Required
Please indicate shirt size (adult): *
Important Information:
Please do not send any medication to camp. Please plan to give your camper medication before and/or after the camp day. Any exceptions to this regulation must be cleared by the camp office. Any serious sensitivities should be brought to the attention of the camp directors prior to the camper's first day. Any attempt to conceal pertinent medical or emotional information will result in the immediate dismissal from camp and loss of all camp fees.
**UPDATED** CIT Program Fees
Registration Fee - $40 (annual rate, includes 5 CIT shirts)
Weekly Rate - $80 (first year), $50 (second year)

Payment must be made in full prior to the start of the camp week. Camp fees are not refundable or transferable.
*ALL CHECKS SHOULD BE MADE OUT TO CAMP PHOENIX. ON THE CHECK PLEASE INDICATE WHAT FEES ARE INCLUDED. (Registration, Week Number, Subway, Night Out, etc.)
Today's Date: *
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