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Citizen Sign Up Form

Sign up Sheet for Citizens who would like to connect with Fort Carson Soldiers. Disclosure of information requested on this form is voluntary and constitutes consent to release this information to The Citizen Soldier Connection.

This form is also used for those citizens that are interested in hosting sodliers for Thanksgiving/Christmas.  We will be in contact soon.  

If you have any questions or need assistance; please contact: Eleanor Martinez at 719-577-0017 or by email at emartinez@citizensoldierconnection.org.

*BOLD Indicates Required Field



First
Last
Marital Status

If married, your spouses name


Contact Information

Address
City
State
Zip Code
Email
Phone Number
Cell Phone


Background Information

Status




If Active, Reserve, or Retired, which Branch of Service?
Familys Favorite Activities/Hobbies
Are you able to provide transportation for your hosted soldiers: (PLEASE NOTE: If you are able to provide transportation, you will be asked to pick up your hosted soldiers at Fort Carson)

Do you have any of the following in your home? - check all that apply




Occupation
Company
Please tell us about your family; this information will assist in developing successful connections.
Number of soldiers I can host (at least two since we never send soldiers alone)
What day does your holiday event take place?

How did you hear about Citizen Soldier Connection?
Referred by
I have read and understand the Disclaimer below
You must click the submit button to send your sign-up form.

DISCLAIMER: The Citizen Soldier Connection ("CSC") is a voluntary program for both citizens and soldiers. While CSC facilitates the connection between citizens and soldiers in order to accomplish the mission of CSC and, thereby, to benefit soldiers and citizens, CSC does not assign soldiers or citizens to one another. The connection of individuals is based on an apparent match that takes into consideration a variety of factors, including information provided by both soldiers and citizens, which leads to the introduction of a soldier and citizen to one another. Once the introduction is made, it is solely for the soldier and citizen to decide whether to establish and pursue a relationship and activities contemplated by the mission of CSC. CSC provides no assurance that the connection will work to the satisfaction of anyone, in either the short or long term, and CSC makes no guaranties as to the quality or success of the connection. Further, CSC makes no promises and bears no responsibility regarding the character, conduct or actions of any participants in the program. The soldier and citizen each fully accepts and bears any and all risks associated in any manner with the activity, conduct, misconduct, actions or inactions of the person with whom they choose to establish a connection. Each soldier and citizen who chooses to participate in the CSC program must, as a condition of participating in the program, sign and deliver to CSC a CSC Participant Waiver and Release Form.