JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2024 Diehl Me In Counselor-In-Training - Week 1
Dates: July 8-11, 2024- 8:30 AM -4:00 PM
See Megan to pay $360 by June 15 -
After June 15, $420
DMI merchandise included- shirt & surprise
Camp Address: 33 Diehl Road, Callicoon, New York 12723
Contact us at
845.866.8183
or diehlmeinph@gmail.com
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name of Counselor-In-Training(CIT)
*
Your answer
Age of CIT
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number AND Cell Phone Number
*
Your answer
Email
*
Your answer
Emergency Contact Name and Phone Number
*
Your answer
Allergies/medical conditions we should be aware of.
*
Your answer
What size t-shirt for your CIT
*
youth small
youth medium
youth large
youth extra large
adult extra small
adult small
adult medium
adult large
adult extra large
Required
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Jenn Powell Designs.
Does this form look suspicious?
Report
Forms