NAVAL ACADEMY PARENTS CLUB OF SOUTHERN CALIFORNIA - Alumni Lifetime Membership Form
ALUMNI LIFETIME MEMBERSHIP FORM
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Email *
Midshipman/Officer's Name: *
Class of: *
Company #:
Major / Minor: *
Activities / Clubs / Sports:
Service Selection: *
Branch:
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Career Update: *
Family's Address, including City & Zip Code: *
Family's Home Phone Number: *
Officer's Parent 1 Name: *
Parent 1 Cell Phone: *
Parent 1 Email: *
Parent 1 Military: *
Affiliation:
USNA Grad & Year:
Parent 1 Occupation:
Parent 1 Interest in Volunteering in Our Club: *
Parent 1 Level of Involvement in the Club (Select all that apply)
Officer's Parent 2 Name: *
Parent 2 Cell Phone: *
Parent 2 Email: *
Parent 2 Military: *
Affiliation:
USNA Grad & Year:
Parent 2 Occupation:
Parent 2 Interested in Volunteering in Our Club: *
Parent 2 Level of Involvement in the Club (Select all that apply)
PHOTO RELEASE PERMISSION: I hereby authorize the NAVAL ACADEMY PARENTS CLUB OF SOUTHERN CALIFORNIA (NAPC OF SO. CALIF.) to use photos/videos of my Officer, my family and me in the club’s publications, news releases, online website, social media, and in other communications related to the mission of the NAPC OF SO. CALIF. *
DIRECTORY RELEASE PERMISSION: I hereby authorize the NAVAL ACADEMY PARENTS CLUB OF SOUTHERN CALIFORNIA (NAPC OF SO. CALIF.) to include my name, email, telephone numbers, city of residence and my Officer's information in the club directory to be shared with the active members of the NAPC OF SO. CALIF. *
MEMBERSHIP FEE: A LIFETIME membership fee of $50 is due with your application form. Please enclose a check or complete credit card payment on the myUSNA website or the NAPC OF SO. CALIF. (APCSC) website as directed below. *

PAYMENT INFORMATION - ELECTRONIC SUBMISSION: Please submit this form and make online payment on the myUSNA website https://myusna.com/topics/9948/memberships.   

For payment options or questions, kindly contact membership at NAPCSCmembership@gmail.com 

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PAYMENT INFORMATION - SUBMISSION BY US MAIL:  Please submit this form. Print a copy of your responses that will be emailed to the address you provided. Send a check for $50  made payable to NAVAL ACADEMY PARENTS CLUB OF SO. CALIF.   For payment questions and mailing address, kindly contact membership at NAPCSCMembership@gmail.com
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