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
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Cell Phone
*
Secondary E-mail
Cadet(s) Information:
Cadet Name:
*
Cadet Grade:
*
Please select one option.
2nd
3rd
4th
5th
6th
7th
8th
Select 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
Select 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
Select 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
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
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
First meeting: September 13, 6:30-8:30 pm No Uniforms
Fall Campout September 15-17
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