To be completed by a parent or guardian and submitted with the application.
* Please make sure to include all information on this page!
* Leave USNSCC/USNLCC ID box empty we will enter this number when they are registered. You do not need a Dr's signature, only the parent or guardian.
* Initials must be handwritten in BLACK INK ONLY not typed.
* When you register for a training, Admin will send you this form PREDATED. This is the release of liability for your cadet to be treated medically while at the training. If something needs to be changed within 30 days of the start date of the training we can submit a new form. A wet signature is required upon check-in to the training some medical facilities will not accept a copy. We need to verify the form is correct before sending the original with your cadet to training. COTC's have been authorized to send cadets home if this form is filled out incorrectly or a copy is placed in the file. Help us help you get your cadet off to a great start to trainings!
UPDATED WITHIN 30 DAYS OF THE START DATE OF THE TRAINING.
EVERY TRAINING EVERY TIME.