CIT Application Form

PLEASE NOTE: THIS IS AN APPLICATION FORM. IF YOU ARE ACCEPTED WE WILL FOLLOW UP WITH YOU AND YOUR PARENTS TO FILL OUT A CIT REGISTRATION FORM.

CIT Name:*

First Name Last Name

CIT Cell Phone Number:*

Area Code Phone Number

CIT E-mail:*

Parent E-mail:*

Grade Entering:*

8th9th10th

I would like to work with:*

Mini GanYounger CampersOlder Campers

I am applying for:*

Full Session: June 29 - July 24Week One: June 29 - July 3Week Two: July 6 - July 10Week Three: July 13 - July 17Week Four: July 20 - July 24

Please check off any activities you see yourself being able to lead or help facilitate:*

Please specify any other areas of interest or particular talent that you would like to share, or may possibly be helpful at camp:*

Questions or Comments:

Reference Number 1 Name:*

First Name Last Name

Reference Number 1 Phone Number:*

Area Code Phone Number

Reference Number 1 E-mail:*

Reference Number 2 Name:*

First Name Last Name

Reference Number 2 Phone Number:*

Area Code Phone Number

Reference Number 2 E-mail:*

MY INFORMATION