Cadet Application
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Gender
*
Please Select
Male
Female
Age
*
Date Of Birth
*
School District
*
Current Grade Level
*
Parent #1
*
First Name
Last Name
Relationship to Candidate
*
Please Select
Mother
Father
Step Mother
Step Father
Parent #1 Phone
*
Please enter a valid phone number.
Parent #1 Email
*
example@example.com
Parent #2
First Name
Last Name
Relationship to Candidate
Please Select
Mother
Father
Step Mother
Step Father
Parent #2 Phone
Please enter a valid phone number.
Parent #2 Email
example@example.com
Does this candidate have health insurance?
*
Please Select
Yes
No
Has this candidate ever applied to Camp Cadet before?
*
Please Select
Yes
No
If so when?
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Does the candidate belong to any clubs, religious groups, organizations, or sports teams?
Has the candidate ever had any contact with law enforcement? (negative or positive)
*
Yes
No
If yes to above question, please explain.
Is the candidate on any prescribed and or over the counter medications? If yes, please explain, if no N/A
*
Does the candidate have any allergies? (food, seasonal, other) If none write N/A
*
Any other information about the candidate?
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