CIT Online Registration!

Please fill out the form below carefully. When you press submit,
this form will be sent to our administration office.

 

 

Camper/Parent Information
Home Address

 

 Name
City   Gender   M      F
 State  Date of Birth
 Zip Grade

 
Entering September 2014
 Phone #  School
Hampton's #

Mom's Name



Hampton's   Address

Even if you do not receive
mail here		 Mom's Work #  
 City
Mom's Cell #
 
Zip		 Mom's Email
   
Dad's Name
   

 
Dad's Work #
   
Dad's Cell #


   
Dad's Email
       
Additional  Information
Please share with us some of your special talents and strengths

Name one exciting activity or workshop you would love to have this summer 2014 @ CGI Southampton?
(For returning CIT's)
What did you enjoy most last summer 2013 as a CIT at CGI Southampton?
 

 

PLEASE INDICATE IF YOU WOULD LIKE TO BE A CIT IN THE
MINI GAN OR GAN ISRAEL.


  Mini Gan - 2-4 Years.
      5 days a week 9:00am-1:00pm		   Junior Gan Israel - 5-8 Yrs.
      5 days a week 9:00am-3:30pm
   
     For Which Sessions?      For which Sessions?