SSA Cadet Membership

SSA Cadet Membership Application

Required items are in BOLD. The SSA values your privacy and will not share it with other organizations.

First Name:
Middle Initial(s):
Last Name:
Initials:
Date of Birth:	Month: Day: Year:
Mailing Address:
City:
State:
Zip Code:
Contact Phone:
E-mail:
Name of glider club, if a member:

Please indicate your other memberships that apply:
Boy Scouts:
Girl Scouts:
Civil Air Patrol:		Squadron/Unit :
AOPA AV8RS:
Academy of Model Aeronautics (AMA):
Experimental Aircraft Association (EAA):
Junior ROTC:
Boys and Girls Clubs:
Other:
Where did you learn about the SSA Cadets?

By checking this box, I affirm that I am either 13 years of age or older or I am the legal guardian completing this form for my dependent who is under 13 years of age.

[ATTENTION Parents/Legal Guardians – If your child is 12 or under you must complete this form on their behalf. The information you include here will be used to activate your child’s membership and deliver their membership card. They will ONLY receive communications directly from the Soaring Society of America! There is no fee now or at any time during your child’s SSA Cadet Introductory Membership.]