63d Regional Support Command Strong Bonds Registration Form Email completed form to: usarmy.usarc.63-rsc.mbx.rsc063strongbonds@mail.mil Questions about Strong Bonds? Call (562) 519-8940.
v. FY18
Event Information Requested Training Event:
Where do you live?
Are you deploying in the next 12 months?
Have you attended a Strong Bonds Event?
Which Event:
Soldier Information Privacy Act Statement: The information contained in a completed registration form is sensitive and subject to the Privacy Act. All efforts should be made to protect this information. Authority: Title 5 U.S.C., S4103 & EO937. Principal Purpose: Used for planning and authorizing official travel, producing RPA orders for Department of Defense Travelers Disclosure: Voluntary, however failure to provide the requested information may delay or preclude Travel/RPA orders being produced or approved. Last Name:
First Name:
Middle Initial:
Preferred Name:
Gender:
Grade:
Status:
Unit:
UIC:
Major Command:
Current Address:
City:
State:
Zip Code:
Preferred Phone:
Military Email:
Alternate Email:
Alternate Phone:
UA Name:
UA Email:
UA Phone:
Commander Name/Rank:
Commander Email:
Commander Phone:
TPU Soldiers must have at least 3 ADT days before orders can be processed. Unit administrator / S1: Does the Soldier have enough days?
Yes:
SSN:
Commander/Supervisor Signature:
Spouse Information All dependents must be registered in DEERS to receive orders and attend training. Last Name:
First Name:
Middle Initial:
Gender:
Birth Date:
E-mail:
Preferred Name:
SSN: Preferred Phone:
Current Address:
City:
State:
Zip Code:
Alternate Phone:
* If spouse is military, complete Grade: the following.
Status:
Unit:
Major Command:
Does Spouse have a Government Travel Card?
UA Name:
UA Email:
UA Phone:
Supervisor Name/Rank:
Supervisor Email:
Supervisor Phone:
* If military, spouse must have Command approval to attend this Strong Bonds event. Do you have Command/Supervisor's approval?
Yes:
No:
Commander/Supervisor Signature:
Travel Information Most cost effective means of transportation will be directed and utilized. Do you have a Government Travel Card (GTC)? (Unit must turn on your GTC prior to travel)
If you do not have a GTC, will you need a travel advance?
Requested mode of travel:
One way mileage from your residence to the event:
Closest Major Airport Code:
If any dependents must travel from a separate location, please explain:
Children's Information You must have at least one child between age 8 and 18 to attend a Family event. All dependents must be registered in DEERS to receive orders. Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Last:
First:
Preferred Name:
Age:
Gender:
Birth Date:
Additional Information (diet restrictions, special needs, allergies, etc.):