Professional Documents
Culture Documents
Credo Nafm PRR Reg Form 09-11 July 2015
Credo Nafm PRR Reg Form 09-11 July 2015
Age
Gender
M
Branch of Service
F
Years of Service
RANK/RATE
Permanent Command
Work Phone
Home Phone
Cell Phone
E-Mail Address
For Meal
Vegetarian only
I hereby grant permission to the rights of my image, likeness, and sound of my voice as recorded on audio or
video tape without payment or any other consideration. I hereby waive the right to inspect or approve the
finished product wherein my likeness appears. I also understand that this material may be used in diverse
noncommercial, nonprofit settings within an unrestricted geographic area.
(Participant's signature) ___________________________________
Command
E-mail Distribution
CREDO Staff
Family/Friend
Other_____________________
Family Retreat
Marriage Enrichment
Date:
Date:
SIGNATURE:
DATE:
Rank
Supervisor e-mail
I acknowledge that the member above is planning on attending a Personal Resiliency Retreat and
I
APPROVE /
DISAPPROVE his/her attendance.
Supervisor
SIGNATURE:
DATE:
Return to CNRJ.CREDO.Japan@fe.navy.mil or FAX to DSN 243-8874