2019 C.I.T. Application Form

Applicant Information


If you have a 15-17 year old who is interested in our C.I.T. (Counselor In Training) program, please fill out the form below. This is a volunteer program designed to give teens work experience and train them
for a possibility of future work as a camp counselor.

Since your child is under the age of 18, we are required to have heath records and information cards on file for all C.I.T.'s.

After filling out the online application form, please mail it in to Real Life Farm.
The application will be reviewed and, if it is accepted, you will be contacted for an interview.
Applicant Information -> Parent Information -> Additional Information -> Days Available -> FINISH
    MI:

     
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*Parent Email address:
                            *This is where your confirmation email and reciepts will be sent.
Name of Applicant's Physician or Health Clinic: Physician's Phone Number:
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Address of Applicant's Physician or Health Clinic: City:
State:   Zip:
Hospital Preferred for Emergency Treatment: Name of Insurance Carrier:
Date of Last Tetanus Shot: Health Insurance Policy Number:
Allergies, if any:
SECURITY QUESTION
(Type out the word, not the number):
six plus three =