January 10, 2026 Orientation Registration Form 1000

Jan 10 USNSCC Orientation 1000 NOSC Plainville

Fill out the form carefully for registration
Prospective Cadet Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Gender
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Prospective Cadet E-mail
example@example.com
Mobile Number
Format: (000) 000-0000.
Emergency Number
Format: (000) 000-0000.
Parent Name

First NameLast Name
Parent Email
example@example.com
Parent Phone Number
Format: (000) 000-0000.
Please list all attending the Orientation. Make sure that all adults have an Identification as this is an active military installation.
Should be Empty:

Jan 10 USNSCC Orientation 1000 NOSC Plainville