Professional Documents
Culture Documents
PRR Registration Form 26 28 July 2015
PRR Registration Form 26 28 July 2015
Birth Date
Gender
M
RANK
Branch of Service
F
Years of Service
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 Staf
Family/Friend
Other_____________________
MER
Date:
FR
Date:
Date:
SIGNATURE:
DATE:
Rank
Supervisor e-mail
I acknowledge that the couple above is planning on attending a Marriage Enrichment Retreat and
I
APPROVE /
DISAPPROVE their attendance.
Supervisor
SIGNATURE:
DATE: