88th Regional Support Command Strong Bonds Registration Form Email completed form to: usarmy.usarc.88-rsc.list.chaplain-strongbonds@mail.mil Questions about Strong Bonds? Call (608) 388-0542
v. 1.0
Event Information Do you live within 400 miles of event location?
Requested Training Event: 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.
Soldier's Last Name:
First Name:
Gender:
Grade:
Current City:
State:
Zip Code:
Status:
Unit:
UIC:
SSN:
Major Command:
Preferred Phone:
Military Email:
Alternate Email:
Alternate Phone:
UA Name:
UA Email:
UA Phone:
Commander Name/Rank:
Commander Email:
Commander Phone:
Soldiers must have Command approval to attend any Strong Bonds event. Do you have your Command/Supervisor's approval?
Commander/Supervisor Signature:
Spouse Information All dependents must be registered in DEERS to receive orders and attend training.
Spouse's Last Name:
First Name:
Spouse City:
State:
Spouse Email: * If spouse is military, complete the following.
Gender:
Grade:
Birth Date:
Zip Code: Spouse Phone:
SSN: Status:
Does Spouse have a Government Travel Card?
Assigned Unit:
Major Command:
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?
Travel Information Most cost effective means of transportation will be directed and utilized. Do you have a Government Travel Card (GTC)?
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:
To a major airport:
If any dependents must travel from a separate location, please explain:
Children's Information You must have at least one child age 8 or above to attend a Family event. All dependents must be registered in DEERS to receive orders. Last:
First:
Gender:
Age:
Birth Date:
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Age:
Birth Date:
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Birth Date:
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Birth Date:
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Birth Date:
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Birth Date:
Additional Information (diet restrictions, special needs, allergies, etc.):