Cadet Contact information
Please confirm your cadet's current information
Cadet's Name *
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Cadet's Email *
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Home Address: Street Address *
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Home Address: City *
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Home Address: Zip Code *
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Home Address: Home Phone
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School Name: *
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Current Grade: *
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Cadet Phone number
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PRIMARY PARENT/LEGAL GUARDIAN INFORMATION:
Primary Parent/Legal Guardian: Name *
Your answer
Primary Parent/Legal Guardian: Phone number *
Your answer
Primary Parent/Legal Guardian: Email *
Your answer
MEDICAL PROVIDER/INSURANCE INFORMATION
Medical Insurance Provider Name *
Your answer
Medical Insurance Policy Number *
Your answer
Medical Provider Name *
Your answer
Medical Provider Phone Number *
Your answer
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