CITF Registration This field is hidden when viewing the formFull name, as it appears on Driver's License*Please enter your name as it appears on your Driver's license.First Name(Required)Middle Name(Required)Last Name(Required)Date of Birth(Required) MM slash DD slash YYYY UBC ID(Required)Local #(Required)Preferred Email(Required) Cell Phone(Required)Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Departure Airport(Required)Employer Name(Required)Job Title(Required)Male/Female(Required) Male Female As listed on driver's license, for making flight arrangements.Shirt Size (unisex)(Required)SMLXL2XL3XL4XL5XLDietary RestrictionsPhysical RestrictionsEmergency Contact(Required)Emergency Contact (Relationship)(Required)Emergency Contact Phone(Required)PhoneThis field is for validation purposes and should be left unchanged.
