Please complete the following information about your household

  1. Sponsor Information
  2. Who is the Sponsor?
    • If dual military, sponsor = highest ranking
    • If military + civilian, sponsor = military
    • If dual civilian, sponsor = your choice
  3. Spouse Information
  4. Emergency Contact Information
  5. What are Emergency Contacts?

    Two people (other than parents)
    we can contact and/or release your
    child to in case of an emergency.

  6.   Name of Emergency Contact (First)Name of Emergency Contact (Last)Contact Home Phone w/ area codeContact Work Phone w/ area codeContact Cell Phone w/ area codeRelationship
    #1
    #2
    #3
    #4
    #5
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  9.