Counselor In Training (CIT) Form

Please complete all questions to register your child as a CIT (Counselor in Training) for SMS Camp 2024.

Child's Name

*

Date of Birth

*

Gender

*

Please select one option.

Male Female

Age as of 6/1/24

*

Grade Fall 2024

*

Please select one option.

7th Grade 8th Grade 9th Grade

School Attending in the Fall 2024

*

T-shirt Size

*

Please select one option.

Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL

Parent/ Guardian Information

Parent/Guardian Name 1

*

Parent/Guardian 1 Email

*

This address will receive a confirmation email

Phone

*

Parent/Guardian Name 2

*

Parent/Guardian 2 Email

*

This address will receive a confirmation email

Phone

*

Emergency Information

Emergency Contact(s)- please list names/phone #s

*

Does your child have any current allergies or medical/physical conditions?

*

List of Medications Currently Taking:

*

Camp Sessions

Please check the weeks that your child is available to assist with camps.

*

Please select all that apply.

Session 1: June 3rd-7th Session 2: June 10th-14th Session 3: June 17th-21st Session 4 July 8th-12th Session 5: July 15th-19th

Description

Please complete all questions to register your child as a CIT (Counselor in Training) for SMS Camp 2024.

Please Fix the Following

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