Uniform Guidelines

Enlistee Information

Name:                                                                                           Phone:(___)____-_____________ 

Street Address:                                                              Town/City:                                           

 State:                           Zip Code:                 

E-Mail:                                                                         

Medical Conditions:                                                                                                                        

In Case of Emergency Notify:                                                      

Relationship to Above:                                                   Phone:(___)_________________  

Signed:  _______________________________________     Date:  __________________

 Email: Captain John A. Miller if you have any questions