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Camp Tanako CIT Application for Summer 2022
The Counselor in Training Program is designed for rising 6th-9th graders. There are limited spots available. Interviews will take place at Camp Tanako or via Zoom prior to acceptance into the program.
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* Indicates required question
CIT Candidate's Full Name
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Your answer
Date of Birth
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MM
/
DD
/
YYYY
Rising Grade for 2022-2023 School Year
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6th
7th
8th
9th
School Attending
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Your answer
Parent/Guardian Name(s)
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Your answer
Home Address
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Your answer
City
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Your answer
State
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Your answer
Zip code
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Your answer
Mailing Address (if different from above)
Your answer
Parent/Guardian's Email
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The one you check most often.
Your answer
Parent/Guardian's Cell Phone Number
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Your answer
Current Church Membership / Affiliation
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Your answer
How did you hear about Camp Tanako?
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Your answer
What excites you about applying to be a CIT at Camp Tanako?
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Your answer
Previous Camp Experience
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Your answer
T-Shirt Size
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Small
Medium
Large
XL
XXL
XXXL
References: 1) Pastor
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Give name, address, and phone number
Your answer
Reference 2-Teacher (former or current)
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Your answer
Reference 3- Your choice
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Your answer
By typing my name in the field below, I am electronically signing to authorize investigation of all statements herein and release Camp Tanako and all others from liability in connection with it.
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Your answer
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