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.

Once you complete the sign up form below, we will seek to match you with a person who shares your interests and hobbies. We are a new organization, just getting started, so don't give up if you don't get a connection immediately. We will contact you as soon as we are able.

To contact us, call Eleanor Martinez at 719-577-0017 or email her at emartinez@citizensoldierconnection.org.

*BOLD Indicates Required Field

Personal Information

Title

First

Last

MI

Marital Status

yesno

If married, your spouses name

Contact Information

Address

City

State

Zip Code

Email

Phone Number

Background Information

Status

Active Duty
Retired
Reserve
DOD Civilian
Community Member

If Active, Reserve, or Retired, which Branch of Service?

Familys Favorite Activities/Hobbies

I am interested in getting to know

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

Cats
Dogs
Other Pets
Smokers
Children

Occupation

Company

Please feel free to add any additional information that may assist in successful connection

Referred by

How did you hear about Citizen Soldier Connection?

I have read and understand the Disclaimer below

Agree

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.

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. Once you complete the sign up form below, we will seek to match you with a person who shares your interests and hobbies. We are a new organization, just getting started, so don't give up if you don't get a connection immediately. We will contact you as soon as we are able. To contact us, call Eleanor Martinez at 719-577-0017 or email her at emartinez@citizensoldierconnection.org. *BOLD Indicates Required Field
Personal Information
Title
First
Last
MI
Marital Status	yesno
If married, your spouses name
Contact Information
Address
City
State
Zip Code
Email
Phone Number
Background Information
Status	Active Duty Retired Reserve DOD Civilian Community Member
If Active, Reserve, or Retired, which Branch of Service?
Familys Favorite Activities/Hobbies
I am interested in getting to know
Do you have any of the following in your home? - check all that apply	Cats Dogs Other Pets Smokers Children
Occupation
Company
Please feel free to add any additional information that may assist in successful connection
Referred by
How did you hear about Citizen Soldier Connection?
I have read and understand the Disclaimer below	Agree
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.

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Citizen Sign Up Form