Identification
Rank:
AC
LAC
CPL
SGT
FSGT
WOII
WOI
Surname:
Firstname:
Sex:
Male
Female Health Card Number:
DOB Day:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month:
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Y ear:
1983
1984
1985
1986
1987
1988
1989
1990
1991
Address: City:
Province:
Postal Code:
Telephone:
Primary Language:
Other Languages:
Religion:
Last Level Completed in:
2003
2002
2001
2000
1999
1998
1997
1996
Level Completed:
1
2
3
4
5
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Authority is granted for my son/daughter/ward to travel on commercial
or military aircraft, ships and vehicles as deemed necessary by the
service:
Yes
No
I give my consent to my son/daughter/ward to attend the requested
cadet activity(ies):
Yes
No
Permission is granted to issue weekend pass and/or evening pass:
Yes
No
I understand that if I request that my son/daughter/ward be returned
home prior to completion of the cadet actvity(ies), I may be liable for
transportation cost:
Yes
No
Is there a court decree or judgement or seperation agreement in
existence, the terms of which award you the custody of your son/
daughter/ward and/or award visiting rights or restrict access to your
son/daughter/ward by another party? If yes, provide additional
information under separate cover:
Yes
No
Address:
City:
Postal Code:
Province:
Telephone:
Name:
Address:
City:
Province:
Postal Code:
Telephone:
Address:
City:
Province:
Postal Code:
Telephone:
Name:
Address:
City:
Province:
Postal Code:
Telephone: