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Complete this form for more information about our program and to reserve a seat for you and your family at our next orientation. Your information will be held in the strictest of confidence and only for the purpose of providing you with information about our program. A staff member will be in contact with you shortly.

Do YOU have what it takes to be a Young Marine? Find out here!!

Find out by attending one of the orientations! Anyone interested in knowing more about becoming a Young Marine MUST attend an orientation with at least one adult (parent/guardian).  No person shall be discriminated against because of race, color, creed, sex, age, disability or national origin or otherwise subjected to unlawful discrimination.

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  *Child's Date of Birth:
  *Child's Full Name:
  *Child's Gender:  Male
  *Relationship to child:  Birth Parent
 Adoptive Parent
 Legal Guardian
  *Your full name:
  *Your full mailing address:
  *Your primary phone number:
  Your secondary phone number:
  *Your email address:
  How did you hear about us:


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