WASAR Membership Application
Full Name *
Your answer
Mailing Address *
Street, City, State, ZIP Code
Your answer
Phone *
(xxx) xxx-xxxx
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
(xxx) xxx-xxxx
Your answer
SAR Experience
CAP, INSAR, military, etc.
Your answer
Duty Preference *
Required
Availability *
When are you available to volunteer your services?
Required
Pilot Certification
Pilot Certificates and Ratings
Check all that apply
Medical Certificate *
Other ratings and certificates
Check all that apply
Comments
Anything else you'd like us to know?
Your answer
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