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