CITF Registration Full name, as it appears on Driver's License(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 Restrictions Physical Restrictions NameThis field is for validation purposes and should be left unchanged.
