Open House for CIVIL AIR PATROL - VFW Post 5350, 101 Old Riverhead Rd, WHBNY 11978
SECURITY PASS for Wednesday, December 5, 7:00pm to 10:00pm
Full Name of Visitor or Parent(s)
Child's First Name
age 12-18 if being accompanied by parents
City, State, ZIP
Contact phone (A/C) xxx-xxxx
What brought you to this form?
Drivers License Number (9-digit)
Only Used For Base Security Verification
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