C-I-T Application Request Form — The Children's Lifesaving Foundation

Request for teen summer camp counselor application & information

Name

First Name

Last Name

Email

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

High School Name:

Year in School:

Thank You So Much! We will be emailing you your application & information packet shortly.