Civil Air Patrol New Membership Information Request Form
If you are interested in joining CAP as an Aerospace Education Member (please do not fill out this form) click here.
*Denotes Required Field
MR.    MRS.    MS.
*First Name:   MI: *Last Name:
*Address:
 
*City:   *State:   *Zip Code:
Email Address:  
*Phone: Numbers only     Age:
*Parent's Name:    Required for prospects under 18 years of age

How did you hear about CAP:
  AFAAOPA
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Interests
(check all that apply):
  Aerospace EducationAssociate Member
 Cadet MembershipCadet Mentor
 Cadet Sponsor MembershipCommunications Training
 Disaster ReliefFlight Training
 Glider ProgramInstructor, Aerospace Education
 Instructor, CommunicationsInstructor, Computer/Data Processing
 Instructor, Drill and CeremoniesInstructor, Orientation Flight
 Leadership TrainingMilitary Training
 Model Rocketry ProgramOther
 Pilot, GliderPublic Relations / Marketing
 Search and RescueSenior Membership
 Squadron CommanderSurvival Training