CIT Name *

First Name

Last Name

CIT Birthdate *

MM

DD

YYYY

CIT Phone

if applicable

(###)

###

####

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

(###)

###

####

Emergency Contact Name *

This contact will be used if the primary Parent/Guardian contact is unavailable.

First Name

Last Name

Emergency Contact Phone *

(###)

###

####

Photo Release *

By signing up for the CIT program, you are acknowledging that sometimes pictures will be taken to be used in print and online publications, social media, worship slides, etc. We never label pictures with identifying information (name, age, grade, etc.).

Got it!