+------------+--------------------------------------------+-----------+
| ![](media/ | **Great Lakes Region\                      | ![]       |
| image1.png | Encampment 2003 (Alpena)**                 | (media/im |
| ){width="1 |                                            | age2.png) |
| .009722222 | 320 Dover\                                 |           |
| 2222222in" | Waterford, MI 48328\                       |           |
| heigh      | 248-681-5717\                              |           |
| t="1.0in"} | *encampment@glr.cap.gov\                   |           |
|            | **www.glr.cap.gov/enc/***                  |           |
+------------+--------------------------------------------+-----------+

When: **Saturday, 5 July 2003 through Saturday, 12 July 2003**

Where: **Alpena, Michigan**. The location is the Alpena Combat Readiness
Training Center at Phelps Collins Air National Guard Base, just seven
(7) miles west of Alpena on Highway M-32.

Cost: **\$125** for All CAP Members, Cadet Airmen through Senior
Colonel.

How: **[Application Procedures]{.underline}.**

> **Before 15 June 2003:** Completely fill out the attached GLRF-31, all
> pages, obtain the necessary signatures, enclose a check or money order
> for the specified amount payable to [CAP-GLR Encampment]{.underline}
> and **mail them by 15 June 2003** to:
>
> Encampment 2003\
> 320 Dover\
> Waterford, MI 48328
>
> **After 15 June 2003:** Applicants should send an email or leave a
> phone message stating their name, home state, and contact number. Then
> hand-carry your application and check to Alpena. Remember to include
> the ten-dollar late fee.
>
> **[Late Fee and Refund Policy:]{.underline}** Cancellations or
> no-shows and any associated refunds will be assessed a \$10 handling
> fee subtracted from the amount refunded. Applications received after
> the deadline will be assessed a late fee of an additional \$10 for a
> total of \$135. **Refunds will not be given after 31 July 2003**.
>
> **[Scholarships:]{.underline}** Partial or complete scholarships are
> available for cadets who cannot afford the cost of encampment. **No
> cadet should miss the encampment for financial reasons.** Please
> contact Lt Col Pam Saile at 248-681-5717 (before 9pm EST) to make
> arrangements.
>
> **[Family Discounts:]{.underline}** CAP is a family oriented
> organization. We are proud to be able to offer activities for every
> member of the family. To support this, we will offer the following
> discounts for members of the same family: One Member - \$125 each, two
> members - \$110 each, three or more - \$100 each. Please pay on one
> check or money order and please note all family member names. If we
> are able to negotiate a better price from the Air Guard Office we will
> issue a partial refund. Wish us luck!!

**Cadets who have NOT previously attended an encampment may apply for:**

**[Basic Cadet Training.]{.underline}** Encampment is designed for
cadets to experience a week of living on a military base, learn
teamwork, self-discipline, and interact with other CAP cadets. Cadets
get to apply leadership skills previously learned, meet military
personnel at their jobs, and tour government facilities and aircraft.
Each cadet will receive a CAP Cadet Orientation Flight. The week closes
with competition in the Final Morning Inspection, Flight Drill
Competition, and Panel Quiz. The Cadet Party follows on Friday night.
The Graduation and Awards Ceremony will take place Saturday morning.
Graduation certificates, Honor Flight trophies and Outstanding Cadet
awards will be presented. The Pass-In-Review Parade Ceremony will
follow, weather permitting. Parents and guests are welcome to watch the
graduation and parade. Dismissal will be after the barracks buildings
are returned in acceptable condition, no earlier than 1300 hours
(1:00pm).

Attendance at an encampment is required before any cadet may earn the
Mitchell Award. Cadets who attend an encampment in their first year of
membership have a higher degree of success in the Cadet Program and are
more likely to remain in the program than those who do not attend
encampment.

The cost is \$125. This includes room and board but not transportation.
Car-pooling is recommended. Plan to arrive between 0800 hours and 1000
hours on Saturday the 5th. **ANYONE planning to arrive before 0800 on
the 5^th^ MUST gain prior approval from the Encampment Commander, Lt Col
Pam Saile, at 248-681-5717.**

**Cadets who have previously attended an encampment may apply for:**

1.  **Great Lakes Region Cadet Leadership School**

This advanced course is designed to improve the leadership skills of
cadets who have previously attended an Encampment. The focus of the
course is teamwork, with emphasis on time management, instructional
techniques, and attention to detail. Students who complete the course
will receive Region Leadership School credit, required for the Eaker
Award. Applicants **must** have completed **Achievement 5** prior to 30
June 03 in order to be eligible to attend. CLS Candidates must apply by
**30 June 2003,** this deadline will be strictly enforced. A homework
assignment will be mailed out prior to encampment. Walk-ins will NOT be
accepted for Cadet Leadership School. Cost of Cadet Leadership School is
the same as the basic encampment, \$125. Additional information is
available at: <http://glr.cap.gov/cls/> **or** email**:**
[cboehmer@hcbh.com](mailto:rpadavan@home.com)

2.  **Great Lakes Region Encampment 2003-Alpena\--Cadet Staff and
    Headquarters Flight**

> Cadet Staff Selection will be held April 19-20, 2003 at a location to
> be announced. If you are interested in serving on Cadet Staff, you
> must complete 1) GLRF31 (attached), 2) A resume (see
> <http://afpubs.hq.af.mil/pubfiles/af/33/afh33-337/afh33-337.pdf> for
> proper format) and letter of intent which must include the top three
> positions you wish to apply for, and a paragraph on why you feel
> military bearing is important. Cadet Staff applicants should plan to
> pack a full BDU and full blues uniform for the staff selection
> weekend.
>
> Cadet staff applications must be RECEIVED by April 1, 2003 to be
> eligible. IT IS YOUR RESPONSIBILITY to ensure that your staff
> application packet reaches the designated address by April 12, 2003.
> Positions below wing staff are available. *Cadets selected for staff
> positions will be required to have GLRF 31 and payment submitted by
> 01MAY03*.
>
> Headquarters Flight provides cadets the opportunity to work with
> encampment personnel, performing duties which help the encampment and
> the host facility run successfully. Duties include working with: air
> operations, headquarters administration, and possibly the fire
> department, security police, and several other CAP and USAF
> departments.

### Senior Member Opportunities

1.  **Senior Member Staff Positions Are Still Available.**

Senior members (both male and female) are needed for Tactical Officer
positions for each cadet flight. TAC officer applicants should contact
the Chief TAC Officer, Capt Chris Freytag, at <wltff432@aol.com> or
phone 248-887-2399. There are also operational positions open on the
encampment staff. For all other staff inquiries, please contact Lt Col
Monica Burke, Encampment Chief of Staff, at
[mburke01@wideopenwest.com](../kt8l@att.net), or call Lt Col Pam Saile,
Encampment Commander, at 248-681-5717 (before 9pm EST) or e-mail
**<Encampment@glr.cap.gov>**

2.  **Senior Member Training Opportunities**

> [All courses are subject to a minimum registration of 8 students per
> class.]{.underline} Senior members attending senior training all week
> pay only the \$125 dollar encampment fee.

-   A **Training Leaders of Cadets** is tentatively scheduled for 7-10
    July 2003. The course will be held 0800-1200 Monday through
    Thursday. This course is for all senior members who work with cadets
    or who want to know more about the Cadet Program.

-   **Air Force Institute for Advanced Distance Learning (AFIADL) 13
    Clinic** -- Formerly known as ECI 13, this CAP Officer's Course (by
    correspondence) is required for the Certificate of Proficiency and
    promotion to Captain. This class will run 7-10 July 2003 from
    1300-1700, Monday through Thursday. Attendees must enroll with the
    AFIADL and order the end-of-course exam by 01JUN03. Bring your test
    materials to encampment for an exam on Friday.

-   **Aerospace Education Program for Senior Members (AEPSM) Clinic** --
    A review session designed to assist Senior Members in studying
    toward the AEPSM exam, and the Brig. Gen. Chuck Yeager Award. *Dates
    to be announced*. Bring your AEPSM book.

-   **Squadron Leadership School (SLS)** -- Designed to enhance a senior
    member's performance at the squadron level and to increase
    understanding of the basic function of a squadron and how to improve
    squadron operations. (Prior completion of Level 1 is required).
    Course is scheduled for 5-6 July 2003. SLS Cost: \$50. If you stay
    for the entire week, the cost is \$125. Contact the course director,
    Lt Col Monica Burke, at 586-977-8876 (<mburke01@wideopenwest.com>)
    for additional information.

**[Senior training plans are based on demand. If there is insufficient
demand or applicants the course offerings may be reduced.]{.underline}**
Interested Seniors, Please contact Lt Col Frank Newman, Encampment
Professional Development ([fmn3usaf@yahoo.com](../ps8owat@wsdmi.org)) or
XXX-XXX-XXX **BEFORE 30 June 2003** to register for senior training.

# PARENT & GUARDIAN INFORMATION PAGE

> **CONTACT NUMBERS FOR ENCAMPMENT 2003\
> (Phelps-Collins ANGB, Alpena, MI)**
>
> **CONTACTING ENCAMPMENT\
> ON OR BEFORE 3 JULY 2003**
>
> Mailing Address:
>
> **GLR Encampment 2003\
> 320 Dover\
> Waterford, MI 48328**
>
> Website: *(Watch here for updates!)*
>
> **http://glr.cap.gov/enc/**
>
> Email Address:
>
> [**encampment@glr.cap.gov**](mailto:encampment@glr.cap.gov)
>
> Phone Numbers:
>
> **Phone: 248-681-5717\
> **
>
> **CONTACTING ENCAMPMENT\
> 5-12 July 2003** *(7/4/03 is a travel day)*
>
> Mailing Address: *(Yes cadets are allowed to receive mail!)*
>
> Civil Air Patrol Encampment\
> CRTC - Alpena\
> 5884 A Street\
> Alpena, MI 49707
>
> Website: *(Watch here for updates! Throughout the week of encampment
> too!!)*
>
> **http://glr.cap.gov/enc/**
>
> Email Address:
>
> [**encampment@glr.cap.gov**](mailto:encampment@glr.cap.gov) (Checked
> daily)
>
> Phone Numbers (Official Calls Only):
>
> **[Daytime Phone (0800-1700 EDT):\
> ]{.underline} 517.354.6370 (CAP HQ - Bldg 24)\
> or 517.354.6500 (Ask for CAP HQ)\
> [Evening or Emergency Phone (24 x 7):\
> ]{.underline} 517.354.6251 or 517.354.6210**
>
> *(This is the main gate for the base. Explain the nature of the
> emergency and they will contact the CAP Duty Officer, who will return
> your call.)\
> *

**Directions to Phelps-Collins ANGB\
**![](media/image3.wmf)

BASIC CADET PACKING LIST\
(All uniform items must meet requirements of CAPM39-1)

##### AF Style Blues Uniform

-   One (1) Flight Cap with Cadet Insignia

-   One (1) Light Blue, short sleeve Shirt w/Wing Patch

-   One (1) Uniform Trousers/Slacks/Skirt

-   One (1) Belt w/Silver Buckle

-   CAP Insignia (Grade and "CAP" Cutouts) (same set for BDUs)

-   All Earned Ribbons and devices, all earned badges and insignia
    (wings, GTM badge, etc.)

-   Blue, CAP Nameplate

> **[Battle Dress Uniforms (BDUs)]{.underline}**

-   Two (2) BDU Shirts with [approved]{.underline} patches and insignia
    (No Ranger tabs or badges). All officer rank SEWN on.

-   Two (2) pair BDU Trousers

-   One (1) Belt w/black open face buckle

-   One (1) BDU Cover w/No Insignia (No berets)

##### Substitute Uniforms

> *Cadets who do not have CAP uniforms should substitute the following:*

-   AF Style Blue Uniform: Navy blue pants and a blue or white short
    sleeve dress shirt with a collar and dress shoes.

-   BDUs: Blue jeans, light blue or white polo shirt, and gym shoes.

##### Physical Training (PT) Uniforms

-   Two (2) pair of gym shorts or sweat pants

-   Two (2) T-shirts or sweatshirts

###### **Footwear**

-   One (1) pair of Black Oxford Dress Shoes for Blue Uniform

-   One (1) pair of (BROKEN IN) black, combat Boots for BDUs

-   One (1) pair of gym Shoes

###### **Socks/Hose**

-   Six (6) pair of Socks (Heavy, Thick) for Boots

-   Two (2) pair Black Dress Socks

-   (Female) Hose/Stockings (neutral color)

-   Eight (8) pair of athletic socks

#####  Other Clothing & Undergarments

-   Raincoat or Poncho

-   Ten (10) sets of Underwear (Female: and Bras)

-   Two (2) [White]{.underline} V-Neck T-shirts

-   Six (6) [Brown or Black]{.underline} T-shirts

-   One-Two (1-2) sets of Sleeping Clothes

-   One-Two (1-2) sets of (modest) Civilian clothes for travel/cookout

-   Swimsuit

-   Water Shoes for Beach (Optional)

##### Toiletry Kit

-   One (1) Shaving Kit (if needed)

-   One (1) Soap (w/Plastic Container) and Shampoo

-   One (1) Toothbrush and Toothpaste

-   Two (2) Bath Towels and Two (2) Washcloths

-   One (1) Chapstick

-   One (1) Comb or Brush

-   One (1) pair of Shower Shoes

-   Bug Repellent and/or Sunscreen (NO SPRAYS!)

-   Deodorant

-   Kleenex/Tissues

-   (Female) Sanitary Supplies

```{=html}
<!-- -->
```
-   Nail Clippers

-   **Prescription Medication \*\*\***

**(\*\*\* NOTE: The Medical Officer will supervise the dispensing and
storing of all prescription/non prescription medicines and will be
equipped to handle common ailments.)**

> **[Miscellaneous]{.underline}**

-   No more than \$20 in cash. Also Money for Non-Prescription medicine
    or Co-Pays.

-   Boot Blousers (Three Pair)

-   Camera and Film

-   Cloth Band-Aids and Moleskin

-   Flashlight w/Batteries

-   Laundry Bag

-   Pens/Pencils

-   Shoe Shine Kit with soft cloth rag for a super shine!

> **[Miscellaneous (Ctd.)]{.underline}**

-   Small Sewing Kit

-   Spiral Notebook

-   Stitch Gage

-   Suitcase/Duffel Bag, etc...

-   Sunglasses (cannot be worn in formation)

-   Flashlight w/Batteries

-   Yardstick

> **[Web Gear (Bring if you already have the following):]{.underline}**

-   Suspenders

-   Pistol Belt

-   Canteens w/Holders ONLY!!! (NO Camel backs!!)

-   Ammo Pouch w/First Aid Kit/Whistle

-   Poncho or Raincoat (Rolled 6\" wide and attached to the belt with
    two boot blousers)

> ***\[Note: Do not bring knives compasses, survival gear, ranger knots.
> Suspenders, belt Canteens and first aid kit ONLY!\]***

***The following items are considered contraband and will be confiscated
for the duration of the week. Perishable and illegal items will not be
returned. This list is NOT all inclusive:***

-   **Radios,**

-   **Knives,**

-   **Hatchets,**

-   **Food,**

-   **Snacks,**

-   **Tape Players or TV,**

-   **Electronic Games,**

-   **Explosives,**

-   **Fireworks,**

-   **Ammunition,**

-   **Firearms,**

-   **Non-CAP reading material, etc...**

<table style="width:100%;">
<colgroup>
<col style="width: 18%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 0%" />
<col style="width: 0%" />
<col style="width: 1%" />
<col style="width: 6%" />
<col style="width: 0%" />
<col style="width: 6%" />
<col style="width: 1%" />
<col style="width: 25%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="19"><strong>APPLICATION FOR GREAT LAKES REGION
ENCAMPMENT</strong></td>
</tr>
<tr class="even">
<td colspan="19"><em>FILL IN THE FOLLOWING PAGES AS ACCURATELY AND
COMPLETELY AS POSSIBLE. PLEASE TYPE OR PRINT NEATLY. IF FORMS ARE NOT
LEGIBLE THEN YOU MAY NOT BE SELECTED TO ATTEND
ENCAMPMENT<strong>.</strong></em></td>
</tr>
<tr class="odd">
<td colspan="14">NAME (Last Name, First Name, Middle Initial)</td>
<td colspan="3">JOINED CAP: MM YY</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">CAPSN</td>
<td colspan="5">CAP GRADE</td>
<td colspan="4">UNIT CHARTER NUMBER</td>
<td colspan="3">REGION</td>
<td colspan="2">WING</td>
<td colspan="2">Photo not Required</td>
</tr>
<tr class="odd">
<td colspan="17">MAILING ADDRESS (Number and Street)</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="7">(City)</td>
<td colspan="2">(State)</td>
<td colspan="8">(Zip Code)</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td>DATE OF BIRTH: MM DD YY</td>
<td colspan="2">HEIGHT</td>
<td colspan="2">WEIGHT</td>
<td>GENDER</td>
<td colspan="5">HAIR COLOR</td>
<td colspan="6">EYE COLOR</td>
<td colspan="2"><p>TELEPHONE</p>
<p>(Home):</p></td>
</tr>
<tr class="even">
<td colspan="3"><p>SCHOLASTIC ACHIEVEMENT</p></td>
<td colspan="14">RELIGIOUS PREFERENCE</td>
<td colspan="2">(Alternate):</td>
</tr>
<tr class="odd">
<td colspan="3"> Post Graduate Years</td>
<td colspan="14">PRESENT OCCUPATION</td>
<td colspan="2">(Business):</td>
</tr>
<tr class="even">
<td colspan="17">E-MAIL ADDRESS</td>
<td colspan="2">(Fax):</td>
</tr>
<tr class="odd">
<td colspan="19"></td>
</tr>
<tr class="even">
<td colspan="19"> CADET BASIC ENCAMPMENT</td>
</tr>
<tr class="odd">
<td colspan="19"> CADET HEADQUARTERS FLIGHT</td>
</tr>
<tr class="even">
<td colspan="19"> CADET LEADERSHIP SCHOOL STUDENT (CLS)</td>
</tr>
<tr class="odd">
<td colspan="19"> BASIC ENCAMPMENT CADET STAFF
<strong>TITLE</strong>:</td>
</tr>
<tr class="even">
<td colspan="19"> CADET LEADERSHIP SCHOOL (CLS) STAFF
<strong>TITLE</strong>:</td>
</tr>
<tr class="odd">
<td colspan="19"> SENIOR MEMBER ES SCHOOL</td>
</tr>
<tr class="even">
<td colspan="19"> SENIOR MEMBER TRAINING LEADERS OF CADETS COURSE</td>
</tr>
<tr class="odd">
<td colspan="19"> SENIOR MEMBER AEPSM CLINIC</td>
</tr>
<tr class="even">
<td colspan="19"> SENIOR MEMBER AFIADL 13 CAP OFFICER COURSE</td>
</tr>
<tr class="odd">
<td colspan="19"> SENIOR MEMBER TACTICAL OFFICER / ASSISTANT TACTICAL
OFFICER</td>
</tr>
<tr class="even">
<td colspan="19"> SENIOR MEMBER ORIENTATION PILOT / FLIGHT OPERATIONS
STAFF</td>
</tr>
<tr class="odd">
<td colspan="19"> SENIOR MEMBER ENCAMPMENT STAFF
<strong>TITLE</strong>:</td>
</tr>
<tr class="even">
<td colspan="19"><p>ADULT T-SHIRT SIZE <em>(check box)</em></p>
<p> <strong>MEDIUM</strong> <strong>LARGE</strong>
<strong>X-LARGE</strong> <strong>XX-LARGE</strong></p></td>
</tr>
<tr class="odd">
<td colspan="19"><strong>TO BE COMPLETED BY FLIGHT OPERATIONS AND
ORIENTATION PILOT APPLICANTS</strong></td>
</tr>
<tr class="even">
<td colspan="10">FAA CERTIFICATES AND RATINGS</td>
<td colspan="8">CFI CERTIFICATE NUMBER &amp; EXPIRATION DATE</td>
<td>MEDICAL CERTIFICATE CLASS &amp; DATE</td>
</tr>
<tr class="odd">
<td colspan="4">TOTAL FLIGHT TIME IN HOURS</td>
<td colspan="9">TOTAL FLIGHT TIME IN HOURS (Last 12 Months)</td>
<td colspan="6">AIRCRAFT FLOWN (Last 12 Months)</td>
</tr>
<tr class="even">
<td colspan="4">TOTAL ORIENTATION FLIGHTS GIVEN IN HOURS</td>
<td colspan="9">ORIENTATION FLIGHTS GIVEN IN HOURS (Last 12 Months)</td>
<td colspan="6">AIRCRAFT FLOWN IN ORIENTATION FLIGHTS (Last 12
Months)</td>
</tr>
<tr class="odd">
<td colspan="2">CAP FORM 5 CHECKRIDE DATE</td>
<td colspan="14">AIRCRAFT MAKES AND MODEL AUTHORIZED ON CAPF5</td>
<td colspan="3"><strong>PLEASE INCLUDE A COPY OF YOUR PILOT LOGBOOK FOR
THE LAST 12 MONTHS AND A COPY OF YOUR CURRENT CAPF 5 WITH THIS
APPLICATION.</strong></td>
</tr>
<tr class="even">
<td colspan="19"><p><strong>MEDICAL INFORMATION - TO BE COMPLETED BY ALL
APPLICANTS</strong></p>
<p><em>This information is for Official Use Only and will not be
released to unauthorized persons. Answer all questions as accurately as
possible so that the encampment staff can make themselves aware of any
pre-existing medical problems or conditions and be alert to help
you.</em></p></td>
</tr>
<tr class="odd">
<td colspan="19">HAVE YOU EVER HAD AN FAA OR OTHER FLIGHT PHYSICAL
DENIED, SUSPENDED, OR REVOKED? NO YES (Give the date and reason in the
remarks section.)</td>
</tr>
<tr class="even">
<td colspan="19">DO YOU CURRENTLY USE ANY MEDICATION? (Including eye
drops) NO YES (List any medication taken and the reason in the remarks
section.)</td>
</tr>
<tr class="odd">
<td colspan="19">HAVE YOU HAD OR BEEN INVOLVED IN AN ACCIDENT IN THE
PAST 2 YEARS? NO YES (Explain the extent of your injuries and treatment
required in the remarks section.)</td>
</tr>
<tr class="even">
<td colspan="19"><p>HAVE YOU HAD OR HAVE NOW ANY OF THE FOLLOWING? (If
yes is answered on any items, please explain why in hte remarks section
with dates and physician(s) consulted (if any). Items not<br />
specifically noted below having the potential to interfere with
performance during the special sctivity or encampment should be
documented in the remarks section.)</p>
<p> NO YES Frequent or severe headaches NO YES Ear infections NO YES
Chronic diseases like Diabetes or Bronchitis</p>
<p> NO YES Dizziness or fainting spells NO YES Rupture NO YES Girls only
- Menstrual cramps</p>
<p> NO YES Unconsciousness for any reason NO YES Positive TB skin test
NO YES Other illness or accidents</p>
<p> NO YES Eye trouble, excluding glasses NO YES Epilepsy or fits NO YES
Military rejection or medical discharge</p>
<p> NO YES Hay fever NO YES Kidney stones or blood in urine NO YES
Rejection for life insurance</p>
<p> NO YES Sugar or albumin in urine NO YES Motion sickness NO YES
Admission to hospital</p>
<p> NO YES Heart trouble NO YES Nervous trouble of any sort NO YES
Record of traffic convictions</p>
<p> NO YES High or low blood pressure NO YES Any known allergies NO YES
Record of other convictions</p>
<p> NO YES Stomach trouble NO YES Any drug or narcotic habit NO YES
Attempted suicide</p>
<p> NO YES Asthma NO YES Chronic or recurring injuries NO YES Medical
treatment within the past 5 years other than regular office visits or
physicals</p></td>
</tr>
<tr class="odd">
<td colspan="19">IMMUNIZATIONS</td>
</tr>
<tr class="even">
<td colspan="19">FAMILIY PHYSICIAN (Name, address, and phone
number)</td>
</tr>
<tr class="odd">
<td colspan="19"><p>INSURANCE INFORMATION</p>
<p> Medical Liability</p>
<blockquote>
<p>Company Company</p>
<p>Policy Number Policy Number</p>
</blockquote></td>
</tr>
<tr class="even">
<td colspan="19"><p>EMERGENCY ADDRESSEE - PARENT, GUARDIAN, OR CLOSEST
RELATIVE TO BE NOTIFIED IN CASE OF EMERGENCY</p>
<blockquote>
<p>Name Relationship</p>
<p>Address Day Telephone Night Telephone</p>
</blockquote></td>
</tr>
<tr class="odd">
<td colspan="19">REMARKS</td>
</tr>
</tbody>
</table>

+-------------------------------+--------------------------------------+
| RELEASE AGREEMENT             |                                      |
+-------------------------------+--------------------------------------+
| KNOW ALL MEN BY THESE         |                                      |
| PRESENTS that I am submitting |                                      |
| my application for Civil Air  |                                      |
| Patrol Great Lakes Region     |                                      |
| Encampment 2003, and I hereby |                                      |
| volunteer entirely upon my    |                                      |
| own initiative, risk, and     |                                      |
| responsibility for an         |                                      |
| assignment to participate in  |                                      |
| this encampment and with full |                                      |
| knowledge that such           |                                      |
| encampment may include:       |                                      |
|                               |                                      |
| > 1\. Traveling by land, sea, |                                      |
| > or air in US military,      |                                      |
| > commercial, or privately    |                                      |
| > owned vehicles from regular |                                      |
| > place or residence to the   |                                      |
| > site of the encampment,     |                                      |
| > travel incident to the      |                                      |
| > encampment, and subsequent  |                                      |
| > return to place of          |                                      |
| > residence.                  |                                      |
| >                             |                                      |
| > 2\. Participation in        |                                      |
| > aeronautical activities as  |                                      |
| > a passenger or student      |                                      |
| > trainee in US military,     |                                      |
| > commercial, or privately    |                                      |
| > owned aircraft.             |                                      |
| >                             |                                      |
| > 3\. Living for a period of  |                                      |
| > one week or more on         |                                      |
| > diminished rations and      |                                      |
| > minimal shelter simulating  |                                      |
| > actual survival conditions. |                                      |
| >                             |                                      |
| > 4\. Being quartered and/or  |                                      |
| > subsisting away from        |                                      |
| > regular or normal place of  |                                      |
| > residence for an extended   |                                      |
| > period of time.             |                                      |
| >                             |                                      |
| > 5\. Remaining with the      |                                      |
| > cadet group I am assigned   |                                      |
| > to at all times during the  |                                      |
| > encampment.                 |                                      |
| >                             |                                      |
| > 6\. Acting as a spokesman   |                                      |
| > for Civil Air Patrol,       |                                      |
| > rendering reports on the    |                                      |
| > encampment.                 |                                      |
| >                             |                                      |
| > 7\. Refraining from         |                                      |
| > argumentative discussions   |                                      |
| > concerning governmental     |                                      |
| > policies.                   |                                      |
|                               |                                      |
| In consideration of the       |                                      |
| permission extended to me by  |                                      |
| the Civil Air Patrol/United   |                                      |
| States of America through its |                                      |
| officers and agents to        |                                      |
| participate in in said        |                                      |
| encampment or\                |                                      |
| encampments, I do hereby for  |                                      |
| myself, my heirs, executors,  |                                      |
| and administrators release    |                                      |
| and forever discharge the     |                                      |
| Civil Air Patrol, Inc./United |                                      |
| States of America, and all    |                                      |
| its officers, agents, and     |                                      |
| employees acting official or  |                                      |
| otherwise, from any and all   |                                      |
| claims, demands, actions, or  |                                      |
| causes of action, on account  |                                      |
| of my death or on account of  |                                      |
| any injury to me or my        |                                      |
| property which may occur as a |                                      |
| result of the negligence of   |                                      |
| the Civil Air Patrol/United   |                                      |
| States of America, its agents |                                      |
| or employees during said      |                                      |
| encampment or encampments or  |                                      |
| continuances thereof, as well |                                      |
| as all ground and flight      |                                      |
| operations incident thereto.  |                                      |
|                               |                                      |
| > DATE SIGNATURE OF APPLICANT |                                      |
+-------------------------------+--------------------------------------+
| RELEASE BY PARENTS OR         |                                      |
| GUARDIAN                      |                                      |
|                               |                                      |
| KNOW ALL MEN BY THESE         |                                      |
| PRESENTS: WHEREBY my child    |                                      |
| has applied for the           |                                      |
| encampment referred to above, |                                      |
| In consideration of the       |                                      |
| permission extended to my     |                                      |
| child by the Civil Air        |                                      |
| Patrol/United States of       |                                      |
| America through its officers  |                                      |
| and agents to participate in  |                                      |
| said encampment or            |                                      |
| encampments, I do hereby for  |                                      |
| myself, my heirs, executors,  |                                      |
| and administrators release    |                                      |
| and forever discharge the     |                                      |
| Civil Air Patrol, Inc./United |                                      |
| States of America, and all    |                                      |
| its officers, agents and      |                                      |
| employees acting official or  |                                      |
| otherwise, from any and all   |                                      |
| claims, demands, actions or\  |                                      |
| causes of action, on account  |                                      |
| of the death or on account of |                                      |
| any injury to my child which  |                                      |
| may occur as a result of the  |                                      |
| negligence of the Civil Air   |                                      |
| Patrol/United States of       |                                      |
| America, its agents or        |                                      |
| employees during said         |                                      |
| encampment or encampments or  |                                      |
| continuances thereof, as well |                                      |
| as all ground and flight      |                                      |
| operations incident thereto.  |                                      |
| In addition, by my signature  |                                      |
| below, I certify the\         |                                      |
| applicant:                    |                                      |
|                               |                                      |
| > 1\. Is my minor child or    |                                      |
| > ward.                       |                                      |
| >                             |                                      |
| > 2\. Has no history or       |                                      |
| > injury or disease which     |                                      |
| > might be affected by this   |                                      |
| > activity except those       |                                      |
| > previously noted in the     |                                      |
| > Medical Information section |                                      |
| > of this form.               |                                      |
| >                             |                                      |
| > 3\. Will follow all rules,  |                                      |
| > regulations, and directives |                                      |
| > as established by the Civil |                                      |
| > Air Patrol, Inc., or        |                                      |
| > encampment commander, or    |                                      |
| > other staff members. If not |                                      |
| > following the above         |                                      |
| > mentioned rules,            |                                      |
| > regulations, and directives |                                      |
| > he/she may be sent home at  |                                      |
| > the discretion of the       |                                      |
| > project officer, or         |                                      |
| > encampment commander at my  |                                      |
| > expense.                    |                                      |
|                               |                                      |
| However, in case of injury,   |                                      |
| disease or other illness,     |                                      |
| permission is hereby granted  |                                      |
| to treat the applicant as     |                                      |
| required, and if the          |                                      |
| applicant is released from    |                                      |
| the activity before recovery  |                                      |
| from said injury,\            |                                      |
| disease, or illness, further  |                                      |
| treatment will be provided by |                                      |
| myself.                       |                                      |
|                               |                                      |
| DATE WITNESS FOR FATHER'S     |                                      |
| SIGNATURE FATHER OR LEGAL     |                                      |
| GUARDIAN                      |                                      |
|                               |                                      |
| DATE WITNESS FOR MOTHER'S     |                                      |
| SIGNATURE MOTHER OR LEGAL     |                                      |
| GUARDIAN                      |                                      |
+-------------------------------+--------------------------------------+
| **SQUADRON CERTIFICATION**    |                                      |
|                               |                                      |
| I certify that the above      |                                      |
| information is correct and    |                                      |
| that all requirements for     |                                      |
| attendance, as specified in   |                                      |
| National Headquarters         |                                      |
| Directives, will be completed |                                      |
| by the required dates. This   |                                      |
| applicant is the              |                                      |
|                               |                                      |
| choice of cadets/seniors in   |                                      |
| this squadron applying for    |                                      |
| this encampment.              |                                      |
|                               |                                      |
| > SQUADRON COMMANDER          |                                      |
+-------------------------------+--------------------------------------+
| **WING CERTIFICATION**        |                                      |
|                               |                                      |
| This applicant is the choice  |                                      |
| of cadets/seniors in this     |                                      |
| Wing applying for Civil Air   |                                      |
| Patrol Great Lakes Region     |                                      |
| Encampment                    |                                      |
| 2003[.]{.underline}           |                                      |
|                               |                                      |
| > WING COMMANDER / DIRECTOR   |                                      |
| > OF CADET PROGRAM            |                                      |
+-------------------------------+--------------------------------------+
| **REGION CERTIFICATION (IF    |                                      |
| OTHER THAN GREAT LAKES        |                                      |
| REGION)**                     |                                      |
|                               |                                      |
| This applicant is the choice  |                                      |
| of cadets/seniors in this     |                                      |
| Wing applying for Civil Air   |                                      |
| Patrol Great Lakes Region     |                                      |
| Encampment                    |                                      |
| 2003[.]{.underline}           |                                      |
|                               |                                      |
| > WING COMMANDER / DIRECTOR   |                                      |
| > OF CADET PROGRAM            |                                      |
+-------------------------------+--------------------------------------+
| **TO BE COMPLETED AT          |                                      |
| ENCAMPMENT - DO NOT WRITE     |                                      |
| BELOW THIS LINE**             |                                      |
+-------------------------------+--------------------------------------+
| ENCAMPMENT DUTY ASSIGNMENT    | MEDICAL DATA *(Limitations,          |
|                               | medications, etc)*                   |
| **     **                     |                                      |
|                               |                                      |
+-------------------------------+--------------------------------------+
| SENIOR MEMBER ASSIGNED TO     | CADET ASSIGNED TO                    |
|                               |                                      |
| Quarters: [     ]{.underline} | Squadron: [     ]{.underline}        |
|                               | Flight: [     ]{.underline}          |
| Duty Telephone:               |                                      |
| [     ]{.underline}           | Barracks: [     ]{.underline} Bed    |
|                               | Number: [     ]{.underline}          |
| Duty Location:                |                                      |
| [     ]{.underline}           |                                      |
+-------------------------------+--------------------------------------+
| **APPLICATION CHECKLIST**     |                                      |
|                               |                                      |
| **APPLICATION IS FILLED OUT   |                                      |
| COMPLETELY AND LEGIBLY, AND   |                                      |
| HAS ALL SUPPORTING            |                                      |
| DOCUMENTATION ATTACHED**      |                                      |
|                               |                                      |
| **REQUIRED SIGNATURES HAVE    |                                      |
| BEEN OBTAINED**               |                                      |
|                               |                                      |
| **CHECK(S) OR MONEY ORDER(S)  |                                      |
| IS(ARE) ATTACHED IF           |                                      |
| REQUIRED**                    |                                      |
+-------------------------------+--------------------------------------+

+------------+--------------------------------------------+-----------+
| ![](media/ | **Great Lakes Region\                      | ![]       |
| image1.png | Encampment 2003**                          | (media/im |
| ){width="1 |                                            | age4.png) |
| .009722222 | ***www.glr.cap.gov/enc/***                 |           |
| 2222222in" |                                            |           |
| heigh      |                                            |           |
| t="1.0in"} |                                            |           |
+------------+--------------------------------------------+-----------+

> Return this completed GLRF-31 with proper Squadron (Wing or Region, if
> required) approvals - and your check or money order to:
>
> **GLR Encampment 2003**
>
> **320 Dover**

####### Waterford, MI 48328

> **Phone:** 248-681-5717

######## Email: encampment@glr.cap.gov

Great Lakes Region Summer Encampment 2003

320 Dover

Waterford, MI 48328