Basics Encampment Registration

This is the Encampment Registration form.  This is part of a pre-registration process.  Filling out this form will reserve your seat at the encampment.  You will also need to download the documents from  "Information and Forms" , and send them in along with your check.

Last Name *

First Name *

Middle Initial *

Email Address *

Telephone Number *

Sex Male Female *

Age 12 13 14 15 16 17 18 19 20 Senior

Birth Date (Mandatory for Cadets)

Weight (Mandatory for Cadets)

T-Shirt Size Small Medium Large X-Large XX-Large

Unit Charter Number

CAPSN *

CAP Grade C/AMN C/A1C C/SRA C/SSGT C/TSGT C/MSGT C/SMSGT C/CMSGT C/2D LT C/1ST LT C/CAPT C/MAJ C/LT COL C/COL 2D LT 1ST LT CAPT MAJ COL

Last Encampment Attended ...

Duty Position at Last Encampment

What will you be applying for at Encampment? Basic Staff Comms Support Medflight ATS

With whom will your cadet depart encampment on Saturday, 4 August? (100 chars left)

Please list the guests that will be attending the Graduation/Pass in Review Ceremony ( One line per name, Limit 5) (100 chars left)

Message (2000 chars left)

Please type the following:

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Thank you for submitting your application.  The form you submitted is only part of the application process.  Please do not forget to send in your application with your check.