Philmont 2002 Crew 717-I-1
Identification Data

This information is needed for admittance to Peterson Air Force Base, where we intend to stay for our first 3 days in Colorado. "Declining" to provide the information is NOT an option; if you feel otherwise, please drop out of the Crew now, while we still have time to find a replacement for you.

Please send this information today/tonight as well. Thanks.

Full Name (including M.I.'s):

Full Street Address:

Home Phone Number:

Work Phone Number (Adults Only):

Name of Firm Where You Work (Adults Only):

Address of Firm:

Social Security Number:

Current Age:

Date of Birth:

Place of Birth:

Citizenship:

Driver's License (State and Number; Adults Only):

Note Also That All Scouts Will Need to Acquire Picture ID Before We Leave; Student Picture ID's are Sufficient. If You Don't Have A Picture ID, You Will Need To Get One Made Before We Leave (I believe the DMV will provide minors with a Picture ID for a nominal cost).

- Dr. Bob

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15 March 2002