Identification
Rank: Surname: Firstname:
Sex: Male Female Health Card Number:
DOB Day: Month: Y ear:
Address: City:
Province:
Postal Code:
Telephone:
   
 
   
   
   
Primary Language:
Other Languages:
Religion:
Last Level Completed in:
Level Completed:
Pastcrsename1:
Pastcrseyear1:
Pastcrseloc1:
Pastcrsename2:
Pastcrseyear2:
Pastcrseloc2:
Pastcrsename3:
Pastcrseyear3:
Pastcrseloc3:
Pastcrsename4:
Pastcrseyear4:
Pastcrseloc4:
Newcrsename1:
Newcrseloc1:
Newcrsename2:
Newcrseloc2:
Newcrsename3:
Newcrseloc3:
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: