Charter Number
NHQ-996
Member Type
PATRON
*Social Security Number 
 (OMIT DASHES)
*Date of Birth 
 
*Last Name 
*First Name 
Middle Name
Suffix
*Address 1 
Address 2 (Apt/Suite)
*City 
*State 
*Zip 
 (OMIT DASH)
*Email 
Home Phone 
 (NUMBERS ONLY)
*Gender 

*Are you a citizen of the United States? 
*Have you ever been convicted of any crime other than a minor traffic citation? 
*Prior Military Service? 
 
 
 
 

Membership Fee
$35.00
Additional National Contribution 
$.00
Total Due
$35.00

Payment Information
*Payment Method 
*Credit Card Number 
*Expiration Date 
*CCV 
*Name on Credit Card 

In applying for membership in Civil Air Patrol, I hereby execute the oath below and understand and agree as follows:

(a) To permit CAP to use my Social Security Number in my membership records as an identification number and to obtain background information from any person, corporation, or government agency (local, state, or federal) to be used to determine membership eligibility;
(b) that if my membership eligibility is questioned, I will be notified and provided the reasons;
(c) that prior to a final decision on my eligibility, I will have an opportunity to submit documentary evidence on my behalf; and
(d) that CAP membership is a privilege and not a right and CAP’s decision on my membership eligibility is final.
(e) I hereby grant permission to Civil Air Patrol representatives to use my image or likeness in educational, marketing, and public affairs applications. These applications include, but are not limited to, printed and digital publications, websites, videos, and more. I further agree that my name and identity may be revealed in descriptive text or commentary in connection with the image(s). I authorize the use of these images without compensation. In addition, I waive any right to inspect or approve the finished product wherein my likeness appears. All negatives, prints, and digital files shall be the property of Civil Air Patrol.


OATH OF MEMBERSHIP

I do solemnly swear (or affirm) that:

I understand membership in the Civil Air Patrol is a privilege, not a right, and that membership is on a year-to-year basis subject to recurring renewal by CAP. I further understand failure to meet membership eligibility criteria will result in automatic termination at any time.

I voluntarily subscribe to the objectives and purposes of the Civil Air Patrol and agree to be guided by CAP Core Values, Ethics Policies, Constitution & Bylaws, Regulations and all applicable Federal, State, and Local Laws.

I understand only the Civil Air Patrol corporate officers are authorized to obligate funds, equipment, or services.

I understand the Civil Air Patrol is not liable for loss or damage to my personal property when operated for or by the Civil Air Patrol. I further understand that safety is critical for the protection of all members and protection of CAP resources. I will at all times follow safe practices and take an active role in safety for myself and others.

I agree to abide by the decisions of those in authority of the Civil Air Patrol.

I certify that all information on this application is presently correct and any false statement may be cause to deny membership. I understand I am obligated to notify the Civil Air Patrol if there are any changes pertaining to the information on the front of this form and further understand that failure to report such changes may be grounds for membership termination.

I fully understand that this Oath of Membership is an integral part of this application for senior membership in the Civil Air Patrol and that by selecting “I Accept” my agreement constitutes evidence of that understanding and agreement to comply with all contents of this Oath of Membership.

  (If you need to edit your information, uncheck the 'I accept' box.)