+------------+--------------------------------------------+-----------+
| ![](media/ | **Great Lakes Region\                      | ![]       |
| image1.png | Encampment 2001 (Alpena)**                 | (media/im |
| ){width="1 |                                            | age2.png) |
| .009722222 | 35539 Hatherly Place\                      |           |
| 2222222in" | Sterling Heights, MI 48310\                |           |
| heigh      | 810.977.8876\                              |           |
| t="1.0in"} | *encampment@glr.cap.gov\                   |           |
|            | **www.glr.cap.gov/enc/***                  |           |
+------------+--------------------------------------------+-----------+

When: **Saturday, 7 July 2001 through Saturday, 14 July 2001**

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: **\$100** for All CAP Members, Cadet Airmen through Senior
Colonel.

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

> **Before 15 June 2001:** 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 [GLR Encampment 2001]{.underline}
> and **mail them by 15 June 2001** to:
>
> Encampment 2001\
> 35539 Hatherly Place\
> Sterling Heights, MI 48310
>
> **After 15 June 2001:** 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 \$110. **Refunds will not be given after 1 July 2001**.
>
> **[Scholarships:]{.underline}** Partial or complete scholarships are
> available for cadets who can not afford the cost of encampment. **No
> cadet should miss the encampment for financial reasons.** Please
> contact Lt. Col. Leo Burke at 810.977.8876 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 - \$100 each, Two
> Members - \$95 each, Three or more - \$100 each. Please pay on one
> check or money order and please note all family member names.

**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
parade. Dismissal will be at 1200 hours sharp.

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.

The cost is \$100. This includes room and board but not transportation.
Car-pooling is recommended. Plan to arrive between 1200 hours and 1600
hours on Saturday the 7th. Staff can report on Friday the 6th.

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

1.  **GLR Region Cadet Leadership School**

This course is designed to improve leadership skills of cadets who have
previously attended an encampment. The course follows the Region Cadet
Leadership School curriculum with emphasis on attention to detail and
instructional skills needed for leadership positions. This course meets
the requirement for a leadership school or COS, required to earn the
Eaker Award. A homework assignment will be mailed to all applicants
before encampment. Start time is 1200 hours on Saturday, 7 July 2001.

> Additional information is available at:
> **<http://home.earthlink.net/~ephelka/cls/> or\
> http://glr.cap.gov/ cls.html**

CLS Candidates must apply by **15 June 2001**. Applications will not be
accepted after that date. Walk-ins will NOT be accepted for Cadet
Leadership School. Cost of CLS is the same as the basic encampment -
\$100.

2.  **GLR Encampment 2001 Cadet Staff**

> *Cadet Staff Selection will be held in April or May 2001 More details
> to follow.*

### 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. There are also operational positions
open on the encampment staff. All other staff inquiries please contact
Captain Chris Freytag, Encampment, Executive Officer,
(<Wltff432@aol.com>) or call Lt. Col. Leo Burke, Encampment Commander,
at 810.977.8876 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
> only pay the \$100 dollar encampment fee.

-   A **Senior Training for Cadet Leaders Course** will be conducted
    9-13 July 2001. The course will be held 01000-1200 Monday through
    Thursday. This course is for all senior members who work with cadets
    or who want to know more about the Cadet Program.

-   A **Squadron Leadership School (SLS)** may be conducted 7-8 July
    2001 or 9-13 July 2001. Arrival on Friday night is required for the
    0800 hours start time on Saturday - if a weekend session is held.
    The fee is \$25 if the trainee is staying for the weekend only. The
    fee includes room, board and all materials.

-   A **Corporate Learning Course (CLC)** may be conducted 7-8 July 2001
    or 9-13 July 2001. Arrival on Friday night is required for the 0800
    hours start time on Saturday - if a weekend session is held. The fee
    is \$25 if the trainee is staying for the weekend only. The fee
    includes room, board and all materials.

**[Senior training plans are based on demand. If there is insufficient
demand or applicants the course offerings may be reduced.]{.underline}**
Interested Seniors or Cadet Officers, Please contact Lt. Col. Pam Saile,
Senior Training (<MICAPTTN@aol.com>) or 248.681.5717 **BEFORE 15 June
2001** to register for senior training or call Lt. Col. Leo Burke,
Encampment Commander, at 810.977.8876 or e-mail
**Encampment@glr.cap.gov**

# PARENT & GUARDIAN INFORMATION PAGE

> **CONTACT NUMBERS FOR ENCAMPMENT 2001\
> (Phelps-Collins ANGB, Alpena, MI)**
>
> **CONTACTING ENCAMPMENT\
> ON OR BEFORE 5 JULY 2001**
>
> Mailing Address:
>
> **GLR Encampment 2001\
> 35539 Hatherly Place\
> Sterling Heights, MI 48310-5139**
>
> Website: *(Watch here for updates!)*
>
> **http://glr.cap.gov/enc/**
>
> Email Address:
>
> [**encampment@glr.cap.gov**](mailto:encampment@glr.cap.gov)
>
> Phone Numbers:
>
> **Phone: 810.977.8876\
> Fax: 810.977.8998\
> **
>
> **CONTACTING ENCAMPMENT\
> 7 - 14 July 2001**
>
> 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!)*
>
> **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>
<p> 0</p></td>
<td colspan="14">RELIGIOUS PREFERENCE</td>
<td colspan="2">(Alternate):</td>
</tr>
<tr class="odd">
<td colspan="3"></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 OJT PROGRAM</td>
</tr>
<tr class="even">
<td colspan="19"> CADET LEADERSHIP SCHOOL (CLS)</td>
</tr>
<tr class="odd">
<td colspan="19"> BASIC CADET ENCAMPMENT STAFF TITLE:</td>
</tr>
<tr class="even">
<td colspan="19"> CADET LEADERSHIP SCHOOL (CLS) STAFF TITLE:</td>
</tr>
<tr class="odd">
<td colspan="19"> SENIOR MEMBER CORPORATE LEARNING COURSE (CLC)</td>
</tr>
<tr class="even">
<td colspan="19"> SENIOR MEMBER ECI 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 TITLE:</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>
</tbody>
</table>

+-----------------------------------------------------------------------+
| **MEDICAL INFORMATION - TO BE COMPLETED BY ALL APPLICANTS**           |
|                                                                       |
| *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.*                                                                 |
+-----------------------------------------------------------------------+
| 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.) |
+-----------------------------------------------------------------------+
| DO YOU CURRENTLY USE ANY MEDICATION? (Including eye drops) NO YES     |
| (List any medication taken and the reason in the remarks section.)    |
+-----------------------------------------------------------------------+
| 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.)                                                 |
+-----------------------------------------------------------------------+
| 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\                           |
| specifically noted below having the potential to interfere with       |
| performance during the special sctivity or encampment should be       |
| documented in the remarks section.)                                   |
|                                                                       |
| NO YES Frequent or severe headaches NO YES Ear infections NO YES      |
| Chronic diseases like Diabetes or Bronchitis                          |
|                                                                       |
| NO YES Dizziness or fainting spells NO YES Rupture NO YES Girls       |
| only - Menstrual cramps                                               |
|                                                                       |
| NO YES Unconsciousness for any reason NO YES Positive TB skin test NO |
| YES Other illness or accidents                                        |
|                                                                       |
| NO YES Eye trouble, excluding glasses NO YES Epilepsy or fits NO YES  |
| Military rejection or medical discharge                               |
|                                                                       |
| NO YES Hay fever NO YES Kidney stones or blood in urine NO YES        |
| Rejection for life insurance                                          |
|                                                                       |
| NO YES Sugar or albumin in urine NO YES Motion sickness NO YES        |
| Admission to hospital                                                 |
|                                                                       |
| NO YES Heart trouble NO YES Nervous trouble of any sort NO YES Record |
| of traffic convictions                                                |
|                                                                       |
| NO YES High or low blood pressure NO YES Any known allergies NO YES   |
| Record of other convictions                                           |
|                                                                       |
| NO YES Stomach trouble NO YES Any drug or narcotic habit NO YES       |
| Attempted suicide                                                     |
|                                                                       |
| 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                                                             |
+-----------------------------------------------------------------------+
| IMMUNIZATIONS                                                         |
+-----------------------------------------------------------------------+
| FAMILIY PHYSICIAN (Name, address, and phone number)                   |
+-----------------------------------------------------------------------+
| INSURANCE INFORMATION                                                 |
|                                                                       |
| Medical Liability                                                     |
|                                                                       |
| > Company Company                                                     |
| >                                                                     |
| > Policy Number Policy Number                                         |
+-----------------------------------------------------------------------+
| EMERGENCY ADDRESSEE - PARENT, GUARDIAN, OR CLOSEST RELATIVE TO BE     |
| NOTIFIED IN CASE OF EMERGENCY                                         |
|                                                                       |
| > Name Relationship                                                   |
| >                                                                     |
| > Address Day Telephone Night Telephone                               |
+-----------------------------------------------------------------------+
| REMARKS                                                               |
+-----------------------------------------------------------------------+

+-------------------------------+--------------------------------------+
| RELEASE AGREEMENT             |                                      |
+-------------------------------+--------------------------------------+
| KNOW ALL MEN BY THESE         |                                      |
| PRESENTS that I am submitting |                                      |
| my application for Civil Air  |                                      |
| Patrol Great Lakes Region     |                                      |
| Encampment 2001, 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 (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                    |                                      |
| 2001[.]{.underline}           |                                      |
|                               |                                      |
| > WING COMMANDER / DIRECTOR   |                                      |
| > OF CADET PROGRAM            |                                      |
+-------------------------------+--------------------------------------+
| **REGION CERTIFICATION (IF    |                                      |
| OTHER THAN GREAT LAKES        |                                      |
| REGION - EXCEPT PA WING)**    |                                      |
|                               |                                      |
| This applicant is the choice  |                                      |
| of cadets/seniors in this     |                                      |
| Wing applying for Civil Air   |                                      |
| Patrol Great Lakes Region     |                                      |
| Encampment                    |                                      |
| 2001[.]{.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 2001**                          | (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 2001**
>
> **35539 Hatherly Place**
>
> **Sterling Heights, MI 48310**
>
> **Phone: 810.977.8876**
>
> **Email: encampment@glr.cap.gov**