Annual Validation » 358 RCSCC SIR ISAAC BROCK

ANNUAL CADET VALIDATION

SECTION 1 - CADET IDENTIFICATION
Cadet Name:
Address:
City:
Province:
Postal Code
Main Phone:
Other Phone:
Which number can the Corps send text to?
Email Address:

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SECTION 2 - PARENT / GUARDIAN INFORMATION

PARENT A (MANDATORY)
Parent Name:
Relation:
Access Rights:
Address:
City:
Province:
Postal Code:
Day Phone:
Evening Phone:
Other Phone:
Which phone can the corps sent text messages to:
Parent Email:

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PARENT/GUARDIAN B (If Required)
Parent Name:
Relation:
Access Rights:
Address:
City:
Province:
Postal Code:
Day Phone:
Evening Phone:
Other Phone:
Which phone can the corps sent text messages to:
Parent Email:

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PARENT/GUARDIAN C (If Required)
Parent Name:
Relation:
Access Rights:
Address:
City:
Province:
Postal Code:
Day Phone:
Evening Phone:
Other Phone:
Which phone can the Corps sent text messages to:
Parent Email:

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SECTION 3 - ALTERNATE FAMILY CONTACT (MANDATORY)
NOTE: Must be someone not living with the cadet

AFC NAME:
Relation:
Address:
City:
Province:
Postal Code:
Day Phone:
Evening Phone:
Other Phone:
AFC Email:

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SECTION 4 - HEALTH (MANDATORY)
"Has there been any change in your child's medical, physical or psychological condition or medication, if any, since we last asked you?"

If yes, you must see the corps Administration Department ASAP to complete the Detailed Health Questionnaire

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SECTION 5 - VERIFICATION (MANDATORY)
"I, the undersigned, hereby certify the information on this form is complete, accurate and valid to the best of my knowledge, except where indicated"
Parent Name:
Date:
Telephone: