2023-24 OPCRC Cadet Registration

First meeting: September 13, 6:30-8:30 pm No Uniforms
Fall Campout September 15-17

Parent Information:

Parents' Names

*

Primary E-mail

*

This address will receive a confirmation email

Address

*

Cell Phone

*

Secondary E-mail

Cadet(s) Information:

Cadet Name:

*

Cadet Grade:

*

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

Health Info: (Allergies, etc)

Cadet Name:

Cadet Grade:

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

Health Info:

Cadet Name

Cadet Grade:

Please select one option.

2nd 3rd 4th 5th 6th 7th 8th

Health info:

Emergency Contact Information

If parent not available, please contact: (Name & Phone #)

*

Photo Release Permission

I give permission for OPCRC Cadets to take pictures of my son(s) at Cadet sponsored events for the purpose of posting pictures on OPCRC affiliated social media pages, website and for use during OPCRC worship services.

*

Please select all that apply.

I agree I do not agree

Cadet dues ($25 per Cadet)

1 Cadet ($25) 2 or more Cadets ($50) If you are unable to pay, OPCRC will cover the cost for your child ($0) Other donation

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

First meeting: September 13, 6:30-8:30 pm No Uniforms
Fall Campout September 15-17

Please Fix the Following

Close