Eglin Composite Squadron

Registration

By completing this form you are certifying you will attend this activity.  Materials are purchased based on your registration.  All fields are required.
CAPID:  
First Name:  
Last Name:  
Grade:  
Charter (ex SER-FL-434):  
Age:  
Gender:  
Phone:  
E-Mail:  
T-Shirt Size:  
Activity Applying For:  
Applying for Staff?:  
Emergency Contact Name:  
Emergency Contact Phone:  
Please enter the text in the image:  
 


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