Membership Registration Data Sheet
Member Type
Alumni Cadet Prep ALO
Class
Prep ALO 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
New or Renewal
New Renewal
Parents’ Last Name
Father’s Name
Mother’s Name
Mailing Salutation
John & Mary; Mr & Mrs, etc..
Address
Address 2
City
State
Zip
Home Phone
Father’s Phone
ext.
Mother’s Phone
Primary E-mail
Secondary E-Mail
Cadet First Name
Cadet Middle Name
Cadet Last Name
Nick Name
Squadron
Birthday
PO Box
High School
Academy Activities
(Sports, clubs, etc..)
Annual Membership - $35.00 per Family
(Cadet and Prep School)
$
Alumni Membership - $10.00 per Family
Name Tags - $10.00 Each
Name
Total:
Print this page and mail it and payment to:
Keith Brice
4918 Pine Garden
Kingwood, TX 77345