Cap Form 31 - Application For Cap Encampment Or Special Activity
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1
2APPLICATION FOR CAP ENCAMPMENT OR SPECIAL ACTIVITY
Name (Last, First, Middle Initial)
CAPID
CAP Grade
Gender
Member Type
Charter No. (e.g. GLR-MI-059)
Grade in School
Religious Preference
Address (Include No., Street, City, State and Zip Code)
Home Phone Number
Cell Phone Number
E-Mail Address
Date of Birth (mm/dd/yy)
Shirt Size
Height (Inches)
Weight (Lbs)
Hair Color
Eye Color
Title of Activity
Location of Activity
Activity Dates
Staff Position(s) Sought
Emergency Contact Information
(Primary Contact) Name (Last, First, Middle Initial)
Relationship
Primary Phone Number
(Secondary Contact) Name (Last, First, Middle Initial)
Relationship
Primary Phone Number
RELEASE AGREEMENT
KNOW ALL MEN BY THESE PRESENTS that I am submitting my application for Civil Air Patrol Special Activities or Encampments,
and I hereby volunteer entirely upon my own initiative, risk, and responsibility for an assignment to participate in this activity
of encampment at the first available opportunity and with full knowledge that such activity may include:
1. Traveling by land, sea, or air in US military, commercial, or privately owned vehicles from regular place or residence to
the site of the activity or encampment, travel incident to the activity or encampment, and subsequent return to place of
residence.
2. Participation in aeronautical activities as a passenger or student trainee in US military, commercial, or privately owned
aircraft.
3. Living for a period of one week or more on diminished rations and minimal shelter simulating actual survival conditions.
4. Being quartered and/or subsisting away from regular or normal place of residence for an extended period of time.
5. Remaining with the cadet group I am assigned to at all times during the activity or encampment.
6. Acting as a spokesman for Civil Air Patrol, rendering reports on the activity or encampment.
7. Refraining from argumentative discussions concerning governmental policies.
In consideration of the permission extended to me by the Civil Air Patrol/United States of America through its officers and
agents to participate in said activity/encampment or activities/encampments, I do hereby for myself, my heirs, executors,
and administrators release and forever discharge the Civil Air Patrol, Inc./United States of America, and all its officers,
agents, and employees acting official or otherwise, from any and all claims, demands, actions, or causes of action, on
account of my death or on account of any injury to me or my property which may occur as a result of the negligence of the
Civil Air Patrol/United States of America, its agents or employees during said activity/encampment or
activities/encampments or continuances thereof, as well as all ground and flight operations incident thereto.
Date
Signature of Applicant
(Continued on reverse)
CAP FORM 31, OCT 13
PREVIOUS EDITIONS WILL NOT BE USED
OPR/ROUTING: CP
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