Fillable F031 F5D2769A3E174 CAPF 31

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F031 F5D2769A3E174 CAPF 31

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APPLICATION 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
Name (Last, First, Middle Initial)
RELEASE BY PARENTS OR GUARDIAN
KNOW ALL MEN BY THESE PRESENTS: WHEREBY my child has applied for the activity or encampment referred to above, In
consideration of the permission extended to my child 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 the death or on account of any injury to my child 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. In addition, by my signature below, I
certify the applicant:
1. Is my minor child or ward.
2. Has no history or injury or disease which might be affected by this activity except those previously noted in the Medical
Information section of this form.
3. Will follow all rules, regulations, an
d directives as established by the Civil Air Patrol, Inc., activity project officer or encampment
commander, or other staff members. If not following the above mentioned rules, regulations, and directives he/she may be sent
home at the discretion of the project officer, encampment commander or activity directory at my expense.
However, in case of injury, disease or other illness, permission is hereby granted to treat the applicant as required, and if
the applicant is released from the activity before recovery from said injury, disease, or illness, further treatment will be
provided by myself.
Date
Witness for Father’s Signature
Father or Legal Guardian
Witness for Mother’s Signature
Mother or Legal Guardian
Squadron Certification. (Squadron Commander’s signature is not necessary if the activity is approved in eServices or if it is
a squadron activity.)
I certify that the above information is correct and that all requirements for attendance, as specified in National
Headquarters Directives, will be completed by the required dates.
Date
Squadron Commander
Group Certification. (Group Commander’s signature is not necessary if the activity is approved in eServices or if the activity
is held within the group.)
Date
Group Commander (or designee)
Wing Certification. (Wing Commander’s signature is not necessary if the activity is approved in eServices or if the activity is
held within the wing.)
Date
Wing Commander (or designee)
CAP FORM 31 REVERSE
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Completed 2 July 2020

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