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CADET RECORD INFORMATION SHEET
Daniel Boone High School MCJROTC
Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State
Zip Code
Date of Birth
/
Month
/
Day
Year
Date
Place of Birth
Citizenship
Middle School Attended
Cadet's Cell Number
Format: (000) 000-0000.
Cadet's Personal Email Address
example@example.com
Parent/Guardian Name #1
Relationship
Phone Number
Format: (000) 000-0000.
Parent / Guardian #1 Email Address
example@example.com
Parent/Guardian Name #2
Relationship
Phone Number
Format: (000) 000-0000.
Parent / Guardian #2 Email Address
example@example.com
OTHER EMERGENCY CONTACTS
Name
Relationship
Phone Number
Format: (000) 000-0000.
Name
Relationship
Phone Number
Format: (000) 000-0000.
Date Form Completed
/
Month
/
Day
Year
Date
Submit
Should be Empty: