CIT Staff Registration

Grade Entering *
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School Attending *
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Emergency Contact Information


Parent 1
Relationship to You *
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Parent 2
Relationship to You *
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In the event of an emergency and a parent can't be reached, please provide the names and information of one other person we may contact:
Relationship to You *
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Agreements

Media Release, Photographer and Other Camper Material: It is the practice of Camp Orot to use photographs in its publications and in other selected media, including on the school/camp internet site for the purpose of promoting the camp and its programs. Camp Orot maintains the right to utilize such photographic and quoted materials or other selected media. I/We, as parent(s) and guardian(s), give permission to use photographic and quoted material in MDS or Camp Orot publications and other selected media. *
Please sign: *
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