CADET MEMBERSHIP APPLICATION
First & Last Name of Contestant:
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First Name
Last Name
Birth Date:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Email
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example@example.com
Name of Glider Club (if a member)
Please Indicate Your Other Memberships that Apply
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Boy Scouts
Girl Scouts
Civil Air Patrol
AOPA AV8RS
Academy of Model Aeronautics (AMA)
Experimental Aircraft Association (EAA)
Junior ROTC
Boys and Girls Clubs
Other
Where did you learn about SSA Cadets?
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By checking this box, I affirm that I am either 13 years of age or older or I am the legal guardian completing this form for my dependent who is under 13 years of age.
Please verify that you are human
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