CIVIL AIR PATROL UNITED STATES AIR FORCE AUXILIARY WRIGHT BROTHERS 282 nd AERO COMPOSITE SQUADRON

Transcription

1 CIVIL AIR PATROL UNITED STATES AIR FORCE AUXILIARY WRIGHT BROTHERS 282 nd AERO COMPOSITE SQUADRON NEW CADET PACKET Welcome! I'd like to take a moment to thank you for your interest in the Civil Air Patrol. Since 1941, our members have been performing Missions for America, showing professionalism through everyday service. From search and rescue, to real time aerial disaster assessment, to the basic values of discipline and leadership, the Civil Air Patrol has something for everyone. I'm excited that you are interested in joining our organization! Our members come from a variety of ages, backgrounds, and experience levels. We are dedicated to taking the time necessary to help you establish personal goals so that you can be successful in the program. Because there are many different opportunities available to members of the Civil Air Patrol, the program can seem overwhelming at first. Take things one step at a time, ask lots of questions, and enjoy yourself! I always encourage new members to tell their friends, family, and associates about why they are interested in the Civil Air Patrol. When several new members begin exploring the program together, they often find it even more fulfilling and rewarding. We work together, train together, have fun together and always work to build the team. I have included a packet of information here that will assist you in the first steps as a new member of the Civil Air Patrol. It should answer many of your basic questions regarding the application process, membership dues, uniforms, and other requirements. My staff and I are always available to handle any questions you may have as well! Sincerely, Joseph L. Mitchell, Maj, CAP Commander, GLR-OH-282 CIVIL AIR PATROL PERFORMING MISSIONS FOR AMERICA SINCE 1941

2 Dear Prospective Member: We appreciate your interest in joining Civil Air Patrol. Please take a few moments and review the enclosed information regarding membership in CAP. Through the voluntary public services of our 54,000 members, CAP makes a positive impact in communities across the nation through aerospace education, cadet programs, disaster relief and search and rescue missions. In CAP, it is all about the professional volunteers: everyday people who answer our nation s call for missions essential to the education of our youth and the safety of American citizens. Today, CAP handles 90 percent of inland search and rescue missions, with approximately 100 lives saved each year. Our members are generally the first on the scene transmitting satellite digital images of the damage within seconds around the world and providing disaster relief and emergency services following natural and manmade disasters, including such phenomena as 9/11, Hurricane Katrina, Texas and Oklahoma wildfires, tornadoes in the south and central U.S., North Dakota flash flooding and the October 2006 earthquake in Hawaii, as well as humanitarian missions along the U.S. and Mexican border. In addition, CAP members are dedicated to counterdrug reconnaissance and to teaching a new generation about aerospace and its impact on our future. And our cadet programs ensure our youth receive some of the finest leadership training the nation has to offer. If you decide to take advantage of the many opportunities awaiting you and would like to view more information on CAP, you will find many categories to explore at Also, if you click on Join a unit near me and then give your city or zip code, the Find a Unit database will give you the nearest units to visit. If you have any questions after reading this brochure, you can send an to membershipdevelopment@cap.gov. As the National Commander of this outstanding group of citizen volunteers, I invite you to apply for membership. You have many options with Civil Air Patrol - you can become a patron member, an active member involved in a local unit, an aerospace education member, a parent sponsor, or a corporate partner. We encourage you to give back to America and volunteer with Civil Air Patrol in one of these ways. Your support is needed so that we may continue the great work of our organization. Thank you for your interest in CAP. Best Regards, CAP National Commander What is Civil Air Patrol? Civil Air Patrol, the official auxiliary of the U.S. Air Force, is a nonprofit organization with nearly 54,000 volunteer members nationwide. CAP performs 90 percent of continental U.S. inland search and rescue missions as tasked by the Air Force Rescue Coordination Center and was credited by the AFRCC with saving 103 lives in Its volunteers also perform homeland security, disaster relief and counterdrug missions at the request of federal, state and local agencies. The members play a leading role in aerospace education and serve as mentors to more than 22,000 young people currently participating in CAP cadet programs. CAP has been performing missions for America for more than 65 years. Civil Air Patrol also has a National Headquarters that is located at Maxwell AFB, AL in Montgomery, AL. CAP NHQ has approximately 100 paid staff members that help administer the CAP program.

3 How CAP Began In the late 1930s, more than 150,000 volunteers with a love for aviation argued for an organization to put their planes and flying skills to use in defense of their country. As a result, the Civil Air Patrol was born one week prior to the Japanese attack on Pearl Harbor. Thousands of volunteer members answered America s call to national service and sacrifice by accepting and performing critical wartime missions. Assigned to the War Department under the jurisdiction of the Army Air Corps, the contributions of Civil Air Patrol, including logging more than 500,000 flying hours, sinking two enemy submarines, and saving hundreds of crash victims during World War II, are well documented. Civil Air Patrol Missions Today, CAP no longer sinks submarines, but has three very specific missions. All CAP activities fall under three mission areas: aerospace education, cadet programs and emergency services. Aerospace Education CAP s aerospace education efforts focus on two different audiences: volunteer CAP members and the general public. The programs ensure that all CAP members have an appreciation for and knowledge of aerospace issues. To advance to a higher rank within the organization, members are required to participate in the educational program. Aerospace Educators at CAP s National Headquarters provide current materials that reflect the highest standards of educational excellence. CAP's external aerospace programs are conducted through our nation's educational system. Each year, educators use CAP aerospace curricular products in classrooms across America to promote aerospace to thousands of young people. These teachers highlight basic aerospace knowledge and focus on advances in aerospace technology. CAP's aerospace education members receive more than 25 free teaching aids, as well as lesson plans and other classroom materials. For more information call ext 403. Cadet Programs While there are many youth oriented programs in America today, CAP s cadet program is unique in that it uses aviation as a cornerstone. Through Civil Air Patrol's Cadet Program, young people develop leadership skills, investigate the fundamentals of aerospace science, acquire the habit of exercising regularly, solidify their character, and participate in exciting hands-on activities that prepare them to become responsible citizens. Thousands of young people from 12 through age 21 are introduced to aviation through CAP s cadet program. The program allows young people to progress at their own pace through a 16-step program including aerospace education, leadership training, physical fitness and moral leadership. CAP and its sponsoring organizations also offer numerous academic scholarship opportunities for cadets. For more information visit Those cadets who earn cadet offi-

4 Civil Air Patrol Missions cer status may enter the Air Force as an E3 (airman first class) rather than an E1 (airman basic). Whatever your interests survival training, flight training, leadership there s a place for you in CAP s cadet program. Each year, cadets also have the opportunity to participate in special activities at the local, state, regional or national level. Emergency Services Growing from its World War II experience, CAP has continued to save lives and assist communities through a myriad of emergency services and operational missions. Perhaps best known for its search and rescue efforts, CAP flies more than 90 percent of all inland search and rescue missions directed by the Air Force Rescue Coordination Center. Outside the continental United States, CAP supports the Joint Rescue Coordination Centers in Alaska, Hawaii and Puerto Rico. Another important service CAP performs is disaster relief operations. CAP provides air and ground transportation and an extensive communications network. Volunteer members fly disaster relief officials to remote locations and provide manpower and leadership to local, state and national disaster relief organizations. CAP has formal agreements with many government and humanitarian relief agencies including the American Red Cross, FEMA, FAA, National Transportation Safety Board and the U.S. Coast Guard. CAP also flies humanitarian missions usually in support of the Red Cross transporting time-sensitive medical materials including blood and human tissue, in situations where other means of transportation are not available. It s hardly surprising that CAP performs several missions in direct support of the U.S. Air Force. Specifically, CAP conducts light transport, communications support, and low-altitude route surveys. CAP also provides orientation flights for AFROTC cadets. CAP joined the war on drugs in 1986 when, pursuant to congressional authorization, CAP signed an agreement with the Air Force and U.S. Customs Service offering CAP resources to help stem the flow of drugs into and within the United States. CAP has come full-circle by being called upon to be a major contributor to our country s critical Homeland Security efforts. We have over 54,000 well trained volunteers in 1,600 units nationwide. Our members have excellent air/ground observation and communications assets at their disposal. CAP can provide aerial reconnaissance, photography and transportation, radiological monitoring, disaster and damage assessment, and much, much more.

5 Membership Options Senior Member CAP senior membership is open to adults 18 years or older. Members are provided with extensive training and education in more than 20 different fields. Whatever your skill or talent, there s a place for you in CAP. Cadet Member CAP cadet membership is open to young people years old. A cadet can remain in the program until age 21. Cadets progress through a 16-step program of aviation and aerospace activities as well as learning invaluable skills in leadership and teamwork. Not only that, but cadets have fun in the first year alone, a cadet can: - Go flying - Earn rank and awards - Learn color guard - Launch Rockets - Go to an encampment and more Cadet Sponsor Member Parents, Grandparents and legal guardians have an opportunity to participate in CAP with their cadet through a Cadet Sponsor Membership. You may serve as chaperones, provide transportation or supervise cadets during squadron activities. Cadet Sponsors pay discounted annual membership fees and have a limited time commitment, but this membership allows you to volunteer with your cadet. Ask the squadron commander about how to become a Cadet Sponsor. with your annual dues even though you can t yet make the commitment to serve. The option to transfer to active membership is available with a few additional steps. Patron members receive the bimonthly Civil Air Patrol Volunteer magazine and access to all membership benefits. Join online at Click on Join. Aerospace Education Member If you are an educator, or perhaps enjoy handson activities or demonstrations, consider joining as a CAP AEM. If you have further questions about joining as an AEM, please contact National Headquarters at ext ae@capnhq.gov. National Patron Member If you would like to volunteer with CAP, but now isn t the right time, then the National Patron membership is for you. You can still support the humanitarian missions, emergency response efforts and cadet programs of CAP

6 Frequently Asked Questions How do I join CAP? Begin by visiting the local units (also known as squadrons) in your area. If there are several units to choose from, we recommend visiting each one. Although we are a national organization, each unit will have a distinct personality and different activities. Choose a unit that best fits you. Enclosed in this packet is a Squadron Locator sheet with unit contact and meeting information. All of our members are volunteers, so the phone number listed will probably be a member s home or cell phone. Also, the squadron may only be at the meeting location during meeting times, so someone may not be able to meet with you during non-meeting times. If you have trouble reaching someone, contact the Wing Headquarters for further assistance. Once you choose a squadron, the commander will provide you with the paperwork and information necessary to complete the application process. This includes a membership application, fingerprint card (for adult members), and annual dues. How much does membership cost? Annual membership dues vary by state and consist of National, Regional, and Wing dues combined. The average amount can range from $50 and up for new adult members and about $30 and up for cadets. Contact your local unit to find out the exact dues amount for your area. Additional costs may include uniform items, encampments and other activities. Do members have to wear a uniform? Cadets must wear a CAP uniform, unless otherwise directed by the squadron commander or activity director. New cadets may be eligible to receive their first uniform from the United States Air Force at no charge. You ll find a free uniform voucher attached to the cadet membership application. Adult members may be required to wear a uniform when performing official CAP missions. Members can choose from several distinctive CAP uniforms or the Air Force-style blue uniform. Do I have an obligation to the military? No. Membership in Civil Air Patrol does not obligate you to any military service; nor will you be called to service or deployed. Membership does not entitle you to the same benefits given to active duty and retired military. How much time will I have to give? Most units meet for about 2-3 hours weekly with special activities scheduled during weekends and

7 Frequently Asked Questions the summer. Like many volunteer organizations, the amount of time volunteered varies by member. years in age; and must possess a valid and current medical certificate. The member will complete a flight check in the aircraft within the preceding 12 months as well as an annual written examination and annual aircraft questionnaires for each aircraft authorized to fly. The pilot must have 200 Pilot In Command hours and 50 crosscountry PIC hours to serve as a mission pilot. Will CAP train me to be a pilot? CAP does not normally provide flight training to members, but there may be opportunities to train for reduced rates through a local Aero Club or from flight instructors. Check online or in your local business directory for Flight Schools to find them in your area. There are several scholarships available for cadets and a few targeted to adult members. I m not a pilot. What can I do in CAP? There are many volunteer opportunities in CAP that do not require a pilot license. Some opportunities include: recruiting, communications, logistics, personnel, public affairs, aerospace education, search and rescue and more. Ask your local unit what positions are available. What criteria must a pilot meet to fly CAP aircraft? To be eligible to fly a CAP plane, the pilot must have a valid FAA private, commercial or airline pilot certificate; must be an active CAP member at least 17

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9 CIVIL AIR PATROL UNITED STATES AIR FORCE AUXILIARY WRIGHT BROTHERS 282 nd AERO COMPOSITE SQUADRON CADET MEMBERSHIP DUES FACT SHEET The following list of expenses is provided as a reference for prospective new cadet members. To officially join Civil Air Patrol, the National Headquarters dues must be attached to the membership application. The remaining dues may be paid at a later time if necessary. Please note that the squadron cannot accept lump sum checks or cash. All funds should be separated as listed below on a check or money order. National Headquarters Dues $34.00 First year National Headquarters membership dues (this includes study materials, resource CD, and binder). Checks are payable to National Headquarters, Civil Air Patrol. This also includes the basic summer dress uniform, consisting of shirt, pants, belt, buckle, and hat. Unit Uniform Package $20.70 Unit uniform package consists of all patches and insignia needed for the field and dress uniforms, except those personalized with the cadet s name. Squadron 282 purchases these items in bulk so that the cost savings can be passed to our members. Checks are payable to Ohio Wing, Civil Air Patrol, OH-282. The following items are included in this package: Item Name Quantity Squadron 282 Hat 1 Squadron 282 Patch 1 Reverse Field American Flag Patch 1 Civil Air Patrol Tape 1 BDU Belt 1 Enlisted Flight Cap Device 1 Personalized Uniform Insignia $11.80 To wear the cadet uniforms properly, two personalized items are required. Vanguard is the official licensed vendor for Civil Air Patrol insignia, and they can be reached by website at or by calling Item Number Item Name Quantity Vanguard Price CAP0599HA Your Last Name Embroidered on Blue Cloth 1 $3.55 CAP0599M Cadet Blue Name Plate 1 $3.20 Sub Total: $6.75 Shipping: $5.05 Total: $11.80 Total = $66.50 CIVIL AIR PATROL PERFORMING MISSIONS FOR AMERICA SINCE 1941

10 CADET NAME: CAPID: HAT SIZE MALE FEMALE Measure circumference of head Measure circumference of head 20 1/8 (Size 6 3/8) 20 1/8 (Size 20) 20 1/2 (Size 6 1/2) 20 1/2 (Size 20 1/2) 20 7/8 (Size 6 5/8) 20 7/8 (Size 21) 21 1/4 (Size 6 3/4) 21 1/4 (Size 21 1/2) 21 5/8 (Size 6 7/8) 21 5/8 (Size 21 1/2) 22 (Size 7) 22 (Size 22) 22 3/8 (Size 7 1/8) 22 3/8 (Size 22 1/2) 22 3/4 (Size 7 1/4) 22 3/4 (Size 22 1/2) 23 1/8 (Size 7 3/8) 23 1/8 (Size 23) 23 1/2 (Size 7 1/2) 23 1/2 (Size 23 1/2) 23 7/8 (Size 7 5/8) 23 7/8 (Size 24) 24 1/4 (Size 7 3/4) 24 1/4 (Size 24 1/2) 24 5/8 (Size 7 7/8) 24 5/8 (Size 24 1/2) SHIRT / BLOUSE SIZE Measure circumference of neck (add ½ inch) Measure bust 13½ (BDU XS) Up to 31½ (2) (BDU XS) 14 (BDU XS) 31½ 32½ (4) (BDU XS) 14½ (BDU S) 32½ 33½ (6) (BDU XS) 15 (BDU S) 33½ 34½ (8) (BDU S) 15½ (BDU M) 34½ 36 (10) (BDU S) 16 (BDU M) 36 37½ (12) (BDU S) 16½ (BDU L) 37½ 39 (14) (BDU M) 17 (BDU L) (16) (BDU M) 17½ (BDU XL) (18) (BDU L) 18 (BDU XL) (20) (BDU L) 18½ (BDU 2XL) 19 (BDU 2XL) 20 (BDU 3XL) PANT SIZE Waist measurement Inseam measurement Waist measurement Height 26 (BDU XS) (XS) (BDU S) 22 23½ (2) (BDU XS) Up to 63 (MS) (BDU S) 27 (BDU XS) (S) (BDU S) 23½ 24½ (4) (BDU XS) (MR) (BDU R) 28 (BDU S) (R) (BDU R) 24½" 25½" (6) (BDU XS) Over 67 (ML) (BDU L) 29 (BDU S) (L) (BDU L) 25½ 26½ (8) (BDU XS) 30 (BDU S) (XL) (BDU L) 26½ 28 (10) (BDU S) 31 (BDU S) 28 29½ (12) (BDU S) 32 (BDU M) 29½ 31½ (14) (BDU S) 33 (BDU M) 31½ 33 (16) (BDU M) 34 (BDU M) 33 34½" (18) (BDU M) 35 (BDU M) 34½" 36½ (20) (BDU L) 36 (BDU L) 36½" 38½" (22) (BDU L) 37 (BDU L) 38 (BDU L) 39 (BDU L) 40 (BDU XL) 42 (BDU XL) 44 (BDU 2XL) 46 (BDU 2XL) SHOE SIZE Shoe Size: Shoe Size: BLUES ORDERED: RECEIVED: ISSUED: BDU S OBTAINED: ISSUED: CIVIL AIR PATROL PERFORMING MISSIONS FOR AMERICA SINCE 1941

11 APPLICATION FOR CADET MEMBERSHIP CHARTER NUMBER SOCIAL SECURITY NUMBER IN CIVIL AIR PATROL (Type or print.) LAST NAME - FIRST NAME - MIDDLE INITIAL MALE FEMALE HEIGHT WEIGHT BLOOD TYPE DATE OF BIRTH DAY MONTH YEAR MAILING ADDRESS (Number and Street) APT CITY STATE ZIP CODE HOME PHONE ( ) address (This address may be used to contact you concerning CAP events and other membership information) CELL PHONE Parent or Guardian (Name and address) RELATIONSHIP: PHONE: ( ) SCHOOL PRESENTLY ATTENDING (NAME AND ADDRESS) Check here if Home Schooled GRADE MEMBER MOST RESPONSIBLE FOR YOUR JOINING CAP (OPTIONAL : For recruiting campaign purposes) NAME CAPSN CHARTER NUMBER To help us better serve our members, please tell us how you heard about Civil Air Patrol (check all that apply): Air Show School CAP Member Radio Friend Television Magazine CAP Website Family Member CAP Volunteer Magazine CAP Exhibit Other (please name): BACKGROUND INFORMATION: A. CITIZENSHIP 1) Are you a citizen of the United States? 2) Are you an alien admitted for permanent residence? (Must possess current alien registration receipt card [Form I-151 or I-551]). C. PRIOR CAP MEMBERSHIP (WRITE NONE IF APPROPRIATE) B. IDENTIFICATION GROUP WHITE BLACK (NOT OF HISPANIC ORIGIN) HISPANIC AMERICAN INDIAN/ALASKAN NATIVE ASIAN/PACIFIC ISLANDER Old Charter Number Membership Date (From) Membership Date (To) Highest Cadet Award Earned I hereby make application for cadet membership in Civil Air Patrol. I pledge that I will serve faithfully in the Civil Air Patrol Cadet Program and that I will attend meetings regularly, participate actively in unit activities, obey my officers, wear my uniform properly, and advance my education and training rapidly to prepare myself to be of service to my community, state, and nation. APPLICANT SIGNATURE DATE This application has my approval. I understand that my child may be flying in CAP aircraft and participating in vigorous outdoor activities. I agree to help support my child s efforts to attend official Civil Air Patrol functions and activities. I understand that if my child receives a free uniform and withdraws from the program during the first year that I assume responsibility for this uniform on behalf of my minor child. For information on how CAP supports parents see cap.gov/parents. I understand if my child receives a free uniform and withdraws from the program during the first year that I assume responsibility for this uniform on behalf of my minor child and the uniform must be returned or replaced. PRINT PARENT OR LEGAL GUARDIAN FULL NAME SIGNATURE DATE To be completed by commander or designated representative: I certify that the applicant is accepted as a member of Civil Air Patrol subject to approval by higher headquarters with National Headquarters as the final approving authority. Membership becomes effective when this application is processed by National Headquarters and the individual s name appears on the National Headquarters database. UNIT NAME PRINT FULL NAME SIGNATURE DATE A NOTE TO THE NEW CADET Congratulations on joining Civil Air Patrol! To fly in CAP aircraft and be credited for achievements in the Cadet Program, your application must be processed by CAP National Headquarters. So please rush this application and your check for dues to: NATIONAL HEADQUARTERS CAP/DP 105 S. HANSELL ST. MAXWELL AFB AL CAP FORM 15, DEC 06 PREVIOUS EDITION MAY NOT BE USED AFTER 28 FEB 07 OPR/ROUTING: DP

12 HEALTH CERTIFICATE PARENT S EVALUATION The activities in which your child will participate while a member of CAP are generally comparable to those experienced in high school, including physical education activities. To assure the fullest degree of pleasure and success in Civil Air Patrol, the cadet should be healthy, both physically and mentally. If you mark NO in all the boxes below, your cadet will be placed in a Physical Fitness Category I, and will not require a physical examination. It you mark YES in any box, an examination by a physician is required. YES NO FREQUENT OR SEVERE HEADACHES DIZZINESS OR FAINTING SPELLS UNCONSCIOUSNESS FOR ANY REASON EYE TROUBLE (not correctable with glasses) HEART TROUBLE CHRONIC OR RECENT EAR TROUBLE HIGH OR LOW BLOOD PRESSURE SIGNIFICANT ABDOMINAL TROUBLE (INCLUDING HERNIA) UNLESS CORRECTED SUGAR OR ALBUMIN IN URINE EPILEPSY MENTAL OR NERVOUS DISORDER DRUG OR NARCOTIC HABIT EXCESSIVE DRINKING HABIT REJECTION FOR LIFE INSURANCE ASTHMA ALLERGIES OTHER LIMITATIONS I HEREBY CERTIFY THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF THE HEALTH OF THE APPLICANT IS AS SHOWN ABOVE. PARENT OR LEGAL GUARDIAN SIGNATURE DATE PHYSICIAN S CERTIFICATE (Required if YES was marked in any box above) I certify that I have examined the applicant whose name appears hereon and that he/she does not possess physical limitations that would preclude participation in Civil Air Patrol as explained in the above parent s evaluation. UNRESTRICTED: Physically capable of full participation. TEMPORARILY RESTRICTED: Medical condition or injury is temporary in nature. PARTIALLY RESTRICTED: Indefinitely or permanently restricted from a portion of the program. PERMANENTLY RESTRICTED: Medical condition or injury is chronic or permanent in nature and individual is restricted from all Civil Air Patrol physical activities. PHYSICIAN S SIGNATURE DATE PHYSICIAN S ADDRESS PHYSICIAN S PHONE CAP FORM 15, DEC 06 REVERSE

13 EMERGENCY NOTIFICATION DATA PERSONAL INFORMATION LAST NAME FIRST NAME MI CAP RANK CAPID ADDRESS CITY STATE AND ZIP CODE CIVIL AIR PATROL UNIT INFORMATION UNIT CHARTER NO. UNIT NAME UNIT LOCATION (City and State) UNIT COMMANDER S NAME CAP RANK TELEPHONE (Weekdays) AC: NO. ADDRESS TELEPHONE (Nights & Weekends) AC: NO. PERSON TO NOTIFY IN CASE OF EMERGENCY NAME (Mr., Mrs., etc.) RELATIONSHIP TELEPHONE (Weekdays) AC: NO. ADDRESS TELEPHONE (Nights & Weekends) CELL PHONE AC: NO. CAP FORM 60, DEC 03 Previous editions will not be used after 31 Mar 04 OPR/ROUTING: LMM Cut here EMERGENCY NOTIFICATION DATA PERSONAL INFORMATION LAST NAME FIRST NAME MI CAP RANK CAPID ADDRESS CITY STATE AND ZIP CODE CIVIL AIR PATROL UNIT INFORMATION UNIT CHARTER NO. UNIT NAME UNIT LOCATION (City and State) UNIT COMMANDER S NAME CAP RANK TELEPHONE (Weekdays) AC: NO. ADDRESS TELEPHONE (Nights & Weekends) AC: NO. PERSON TO NOTIFY IN CASE OF EMERGENCY NAME (Mr., Mrs., etc.) RELATIONSHIP TELEPHONE (Weekdays) AC: NO. ADDRESS TELEPHONE (Nights & Weekends) CELL PHONE AC: NO. CAP FORM 60, DEC 03 Previous editions will not be used after 31 Mar 04 OPR/ROUTING: LMM

14 EMERGENCY MEDICAL DATA PERSONAL PHYSICIAN PHYSICIAN'S ADDRESS PHONE CITY BLOOD TYPE PERTINENT MEDICAL DATA (Allergies, Diseases, Chronic Illnesses, medications, etc.) CAP FORM 60, DEC 03 REVERSE EMERGENCY MEDICAL DATA PERSONAL PHYSICIAN PHYSICIAN'S ADDRESS PHONE CITY BLOOD TYPE PERTINENT MEDICAL DATA (Allergies, Diseases, Chronic Illnesses, medications, etc.) CAP FORM 60, DEC 03 REVERSE