Counselor-In-Training (CIT) Application
Email address *
General Information
Tell us who you are!
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Are you 21 years of age or older? *
Date of Birth - 12/12/1987 *
What is your Tee Shirt Size? *
Please list any medical conditions you have *
If you have none, please put "None" below (ONE)
Your answer
Are you allergic to any medication(s)? *
If you have none, please put "None" below (NONE)
Your answer
Do you have any dietary restrictions? *
Emergency Contact - Name *
Your answer
Emergency Contact - Relationship *
Your answer
Emergency Contact - Phone Number *
Your answer
The Bird is the Word!
Tell us about your interest in Dirtybird Campout
Why are you interested in Dirtybird's CIT program? *
Your answer
Are you a Subscriber to Birdfeed? If so, what email is associated with you account? *
Your answer
Have you been a Wing Team Member or a CIT in the past?
Which festivals or events, if any, have you participated in before? *
Your answer
What days are you available to work? *
Check all that apply. Please note you are expected to arrive the night before your first shift unless you've made separate arrangements with one of the Head CIT's.
Are you applying with anyone else? Please write their names below
We will do our best to accommodate you and your friend(s) by assigning you the same time/team if possible but it is not a guarantee.
Your answer
Tell us about any of your extra capabilities (optional)
Tell us about the above abilities:
Your answer
Team Descriptions
BUILD/STRIKE: Construct the stages, raise fencing, and other structures
SIGNAGE: Paint signs/make other decorations to make this festival B-E-A-utiful and keep people informed
CATERING/FOOD PREP: Help out in the commissary serving up meals to the hard working Campout crew
GAMES HQ: Supporting the Tournament Staff
BOX OFFICE: Process tickets, parking passes, and wristbands at the gate
GREETERS/PARKING: Be the first face newcomers see and help them park/get oriented/processed
SECURITY: Support the Campout by maintaining secure areas and manning wristband checkpoints
CIT HQ: Receive and Distribute Vital Information to the CIT's and manage shift check in's and out's.
GREEN TEAM: Waste Management and Education. Emptying Bins, Sorting Rubbish, and MOOP'ing common areas
BIRD FEED TEAM: ( Manager Approval Required )
MERCH BOOTH: Help campers pick out the best Dirtybird swag at our merch booth
Which teams would you be interested in being a part of? *
We will try our best to place you with the team of your preference team, however, we will place you based on need first and foremost.
Are there any teams you absolutely would not want to be a part of?
If you select all but your three preferences, you will be assigned to a different team out of spite hehe
Do you have any special talents, (Face painting, DJ'ing, tarot, massage therapy, yoga instruction, etc.) or have any passion projects you would like to manifest at DBC?
Your answer
Are you being referred by a member of the DBC Team? If so, please list here:
Your answer
--------------------*****TERMS & CONDITIONS*****-----------------
I hereby agree that the information submitted on this form is true and correct and that I am at least 18 years of age. I also agree to the following terms and conditions.

-I understand this form is an application for the Dirtybird Campout CIT Program and I will be contacted by DBC's CIT Coordinators if accepted.
-I understand that, if accepted, DBC expects three full shifts of participation in the CIT Program.
-If accepted, I agree to arrive and check-in the evening before my first shift begins.
-I understand that if accepted, DBC will assign hours and tasks as they see appropriate to the festivals needs.
-I understand that DBC expressly prohibits the use of alcohol, illegal drugs or participation in any illegal activity during shifts.
-Unauthorized selling of anything to anyone, (merchandise, tickets, passes, camping, alcohol, drugs, etc.) for personal gain or any other reason is prohibited and will be cause for immediate ejection from the event and surrendering of my deposit.
- I acknowledge that Dirtybird Campout is a 21+ Event, and therefore verify that I am 21 years of age or older.

Check the box below if you agree the aforementioned Terms and Conditions: *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service