2016 New Jersey Wing Basic Encampment Student Application
Registering will place you on the wait list only. The 2016 New Jersey Wing Basic Encampment can host approximately 110 students, and we will work to place as many eligible cadets as possible from this list. Remember, Encampment is also open to cadets from other Wings so spaces will fill quickly. Official notification of acceptance will be provided through the Encampment Registrar. Additional questions or concerns can be directed to encampment.application@njwg.cap.gov.
Last Name *
Your answer
First Name *
Your answer
CAP ID *
Your answer
CAP Grade *
Unit Charter Number (eg. NER-NJ-001) *
Your answer
Email Address *
Your answer
Alternate Email Address
Your answer
Home Address 1 *
Your answer
Home Address 2
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Mobile Phone
Your answer
Prior Encampment *
If YES - List Prior Encampment Year & Location
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Relationship *
Your answer
Emergency Contact Phone *
Your answer
Meal Choice *
Religious Preference
Your answer
If Applicable - Driver's License or State ID (State of Issuance & Number)
Your answer
Military Dependent *
If YES - ID Number
Your answer
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