88th RSC FY18 fillable SB registration form

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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:

Last:

First:

Gender:

Age:

Birth Date:

Last:

First:

Gender:

Age:

Birth Date:

Last:

First:

Gender:

Age:

Birth Date:

Last:

First:

Gender:

Age:

Birth Date:

Last:

First:

Gender:

Age:

Birth Date:

Additional Information (diet restrictions, special needs, allergies, etc.):


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