2 March 2019

MEMORANDUM FOR 2019 Pararescue and Survival Orientation Course (PJOC) Participant FROM: Lt Col Arthur G Levesque, Director SUBJECT: 2019 Pararescue and Survival Orientation Course (PJOC)

1. Congratulations on your selection to attend the 2019 PJOC at Kirtland AFB, Albuquerque, NM, 20 - 28 July 2019. This Air Force orientation course will be mentally challenging and physically demanding. Your experiences during this activity will be of enormous benefit to you now and in the future. PJOC is an introduction to the mission of the Guardian Angel Weapon System (GAWS), a non-aircraft, equipment-based weapon system of the United States Air Force. GA is organized into nine specific capabilities: Prepare, Mission Plan, Insert, Movement, Actions on Objective, Medically Treat, Extract, Reintegrate, and Adapt. For seven training days you will be introduced to some of the skills and requirements of Pararescuemen (PJs), Combat Rescue Officers (CROs), and Survival Evasion Resistance and Escape (SERE) Specialists. During PJOC you will gain experience and training in land navigation, survival techniques, rock climbing, rappelling, and other various skills used in rescue operations. PJOC is a Civil Air Patrol National Cadet Special Activity, provided by the Guardian Angel Enterprise. 2. Location Details: The program will consist of two travel days & seven training days on base and in training areas in the state. Several of the training days will be spent in a field training area where elevations can range between 2,300 feet and 10,600 feet. Plan your physical training accordingly, especially if your home residence is at lower elevations. Daytime temperatures can be in excess of 100 degrees (Fahrenheit), yet nighttime lows can dip to 35 degrees (Fahrenheit). Therefore, proper hydration, nutrition, and physical fitness are required. 3. Activity Fees and Refunds: Activity fees are $450. To accept your slot, pay the $100 non-refundable deposit to National Headquarters (NHQ) by 31 March 2019. You may pay more than $100, but the full amount is due by 30 April 2019. Please wait and pay the non-refundable deposit after you successfully pass the PJOC fitness evaluation at your home unit (details below). If you miss the 30 April deadline, we remove you from primary status and offer your slot to an alternate. Physical Fitness Evaluation Requirement Prior to Paying Activity Fees: You are required to meet minimum fitness standards in order to attend PJOC. Please send your completed PJOC physical fitness evaluation to pjoc.nm@gmail.com no later than 31 March 2019. Instructions and an affidavit to report your results can be found at attachments 11 and 12. Complete the PFE before paying fees. Payment Instructions: You may pay by credit card, debit card, money order, or check. See details at http://www.capnhq.gov. Log into “e-Services”, select “Cadet Programs” on the left side, then the select “Registration and Payment System” link. “Payment Directions” provides details regarding payment methods. There are also links for paying on-line or mailing payments. Refund Requests: If plans change, contact the administrative officer NLT 21 days prior to activity start. The $100 deposit is non-refundable. No refund will be issued within 21 days of activity start.

PARARESCUE & SURVIVAL ORIENTATION COURSE

PARARESCUE / COMBAT RESCUE OFFICER SCHOOL KIRTLAND AFB, NEW MEXICO

4. Required Paperwork: The CAPF 31, is required for all NCSAs. To print it, use the link on the eServices payment screen. Parent, cadet and witness sign. Scan and return to us by 31 March 19. In addition, PJOC participants must complete the attached PJOC Cadet Information Form (atch 1), Medical Information and Consent Form (atch 2), CAPF 160 CAP Member Health History Form (atch 3), CAPF 161 Emergency Information (atch 4), Travel Information Form (atch 8), PJOC PFE Standards Affidavit (atch 12). Cadets who’ve been treated by a medical provider for an injury since 1 October 2018 must complete CAPF 162 (atch 5) and show their medical provider the attachment 6 memorandum. If a student is allowed to take over-the-counter medications while participating in PJOC, please complete CAPF 163 (atch 7). Scan the above into a PDF document (PDF only, not JPEG or PNG) and email to: PJOC.NM@gmail.com. Please follow instructions and review the forms for accuracy. Return the PJOC physical fitness evaluation affidavit (atch 12) no later than 31 March 2019. Please return all other paperwork by 1 May 2019. Travel plans must be submitted no later than 1 June 2019. If you fail to meet these deadlines, you will lose your PJOC primary slot. These deadlines are required to ensure all PJOC slots are filled. If you are not able to attend PJOC, the courtesy of a reply is greatly appreciated so we may offer your slot to an alternate as soon as possible. 5. Travel Information: NOTE: Please do not incur any financial obligation for travel expenses until after you have successfully completed the PJOC fitness evaluation. NOTE: Please follow the requirements for travel times listed below. Our requirements are focused on cadet safety. We can grant exceptions in special circumstances, but we ask you to check with the PJOC Administrative Officer before you plan cadet travel outside of the time windows listed. Exception: If a parent/guardian will be traveling with the student after course completion, you do not need to check with us prior to scheduling travel outside required times, but please inform us so we may plan accordingly. Traveling by Airline: Plan a flight scheduled to arrive at the Albuquerque International Airport (ABQ) between 9:00 a.m. and 3:00 p.m. on Saturday, 20 July 2019. Your return flight must depart the Albuquerque International Airport between 5:00 a.m. and 1:00 p.m. on Sunday, 28 July 2019. We will provide transportation between the airport and the activity. Please see the travel form for what to do when you arrive at the airport. Traveling by Bus or Train: Plan your travel to arrive in Albuquerque no later than 3:00 p.m. on Saturday, 20 July 2019. Schedule your return travel to depart Albuquerque no later than 1:00 p.m. on Sunday, 28 July 2019. We provide transportation between the bus or train station and the activity. Traveling by Personally Owned Vehicle: Plan to arrive at the in-processing location between 9:00 a.m. and 3:00 p.m. on Saturday, 20 July 2019. Plan to depart the out-processing location between 5:00 a.m. and 11:00 a.m. on Sunday, 28 July 2019. If your family is attending the graduation banquet and you wish to depart with them after graduation on the evening of 27 July, please coordinate with our staff at graduation. Reminder: The earlier you arrange travel, the more choices you will have in schedule and pricing. Plan early, but please send your travel information no later than 1 June 2019. Contact our administrative officer, Lt Col Sherry Riddle, at pjoc.nm@gmail.com or prior to making arrangements, if you have questions about travel. 6. Physical Fitness: PJOC is a physically and mentally demanding activity with a very strenuous field-training program. You must meet Air Force weight standards and be physically fit upon arrival. You must be able to participate in all events without restriction. Physical conditioning prior to reporting is critical for safety, and it will ease your altitude adjustment, allow for full participation in all course

activities, and improve your chances of successfully completing all evaluations at PJOC. You’ll complete PJOC Physical Fitness Evaluations during the activity and must pass all categories to graduate. You will also be required to meet minimum PJOC fitness standards prior to reporting for PJOC. Please note the PJOC Physical Fitness standards are set by the United States Air Force Guardian Angel Instructors and are more demanding than Civil Air Patrol Physical Fitness requirements. These standards are designed with the safety of the student as their driving factor; an ill-prepared student is likely to become injured and/or not complete the course. NOTE: These standards are the minimum. If your goal is to simply meet the minimum requirement, your chances of success are greatly diminished.

6a. Physical Fitness Evaluation at Home Unit: Your squadron commander or designated representative must test you using the PJOC Physical Fitness Evaluation (PFE) standards in Attachment 11. The person who administers the test, your parent/guardian, and you will sign the affidavit (atch 12) indicating your ability to meet fitness standards for PJOC. Please complete this evaluation prior to paying activity fees and return it to pjoc.nm@gmail.com no later than 31 March 2019. Any falsification of performance or signatures is an integrity violation and reason for dismissal from the course. We ask that you not be tested by a family member to prevent any appearance of partiality or leniency. 6b. Using PFE Results to Improve Your Chances of Success: The purpose of the home PFE is to give you information on your current level of fitness so you can work to improve or maintain your fitness for success at PJOC. 6c. Endurance / Confidence: In addition to passing the PJOC Physical Fitness Evaluation, you should be able to run three miles without stopping or walking. Participation in a swimming / water confidence introduction is also required during PJOC. 6d. Training to Exceed Minimums: Note that it may be necessary to exceed the minimum PFE standards at your place of residence in order to pass requirements in the training area, due to heat, altitude adjustments, and the demanding course schedule. We recommend a fitness routine that includes running and PFE exercises a minimum of three times per week.

6e. Reporting Recent Illness or Injury: In addition, if any injuries you’ve experienced or been treated for since 1 October 2018 required medical care (a visit to your provider, over-the-counter or prescription medication for pain management, x-rays, splint or cast, hospitalization, etc.), you must get your medical provider’s clearance to participate. Please make sure your provider knows you will be highly active for several hours per day, completing several repetitions of calisthenics, and running at elevations of 2,300-10,600 feet. We require a doctor’s clearance in these circumstances because cadets with recent injuries risk greater injury during PJOC, extended recovery, and are frequently unable to fully participate in the course. Send your doctor’s note with your paperwork using CAP Form 162.

7. Elimination from Training: Some students who arrive for PJOC depart the program early. This is typically related to poor physical conditioning. Often, departing cadets do not meet physical fitness standards and choose to leave, or they’re injured due to lack of physical fitness. Safety is our

greatest consideration in eliminating a student from training non-voluntarily. If a cadet is eliminated from PJOC for any reason, their wing commander and CAP NHQ will be informed. In addition, the cadet or their family pay for additional travel costs incurred due to an earlier-than-planned departure. Eliminated cadets are sent home immediately – typically on the day they are eliminated.

8. Financial Responsibility: If a student must depart PJOC earlier than planned for any reason, the Cadet and their parents / legal guardians are responsible for any additional travel costs incurred due to an earlier departure. Parents acknowledge this obligation by signing their cadet’s CAPF 31, Application for CAP Encampment or Special Activity.” Please keep this requirement in mind when making travel arrangements and when deciding to start or continue a physical fitness program. 9. Course Expectations: In addition to excellent physical conditioning prior to arrival at PJOC, you will be expected to participate in all aspects of the course, listen to instructors and follow their directions, lead a group in course activities when assigned, demonstrate uncompromising integrity, and be respectful of PJOC staff and fellow participants. Teamwork is the key to success at PJOC. Throughout the course, you will work as a team to successfully complete all objectives. The adage “succeed as a team, fail as a team” is a hallmark of the PJOC program. When you accept a slot for PJOC, please be prepared to meet these expectations. As a CAP Cadet, you should be very familiar with proper drill & ceremonies and uniform wear. As a team, you will be evaluated in these areas during the course. In addition, all students will be instructed and evaluated on physical fitness, knots and ropes, rappelling, survival, land navigation, academics, and leadership. You’ll have an opportunity to practice what you learn, ask questions, and receive tutoring prior to evaluation. You must pass all of these evaluations in order to graduate from the course. All evaluations are PASS / FAIL. It is necessary to arrive well-prepared to meet fitness requirements and learn new skills. 10. Graduation Requirements: Graduation is not automatic. Simply participating in all activities will not guarantee your graduation. You are expected to pass all graduation requirements during PASS / FAIL evaluations. All participants receive an amazing opportunity to be mentored by Air Force Guardian Angel professionals. However, only the students who meet PJOC graduation requirements earn the right to wear the Cadet Special Activity Ribbon and PJOC Patch. Graduates are awarded a patch, certificate, and other PJOC memorabilia. Though challenging, PJOC is not a selection course. The goal is for all students to graduate. To graduate, you MUST:

A. Actively participate in ALL training evolutions B. Pass a comprehensive written evaluation with 80% or greater C. Pass the Land Navigation Evaluation D. Complete the initial Physical Fitness Evaluation E. Pass the final Physical Fitness Evaluation F. Pass the timed knot evaluation G. Successfully complete a minimum of one rappel H. Must have NO major safety violations and NO integrity violations I. Approval of the USAF Lead Instructor

11. Graduation Dinner: A Graduation Dinner will be held on Saturday evening, 27 July 2019 at a location and time to be determined. Parents and guests are invited and must RSVP to no later than 20 July 2019. If guests would like to attend, please indicate the number of guests on the Cadet Information Form (Atch 1). The cost PER GUEST will be $30.00, paid in advance. Instructions for payment will be sent separately. Graduation Dinner costs for course participants are included in the activity fee. 12. As a teaching tool, we prefer that the majority of correspondence with PJOC staff be completed by the student. However, parents/guardians, do not hesitate to contact us. Please

direct any specific questions to the administrative officer at PJOC.NM@gmail.com. Lt Col Riddle will also provide telephone contact information in separate communication. 13. PJOC promises to be challenging, rewarding, and memorable. I look forward to meeting and working with each of you, as we share what many consider CAP’s best NCSA! 14. Timeline: The following is a summary: o Start a fitness program focused on strength and aerobic capability now o Complete the Physical Fitness Evaluation and modify work-out to address areas of need o Return the PJOC Physical Fitness Evaluation no later than 31 March 2019 before paying fees o Pay the $100 non-refundable deposit by 31 March 2019 o Pay course fees to National HQ CAP by 30 April 2019 – after you’ve successfully completed the

Physical Fitness Evaluation. NOTE: $100 of the $450 activity fee is non-refundable. o Send CAP Form 31, signed by cadet, parent, and witness; scanned and emailed by 31 March

2019. You can find a link to the CAPF 31 on the registration and payment screen. o Send Cadet Information (Atch 1) and Medical Information (Atch 2) by 1 May 2019 o Send CAP Form 160 Health History & CAP Form 161 Emergency Information (Atchs 3 & 4)

by 1 May 2019. Fillable PDF versions of these forms can be found at www.gocivilairpatrol.com. Select the “Members”, “Publication Library”, then the “Forms” link

o If you’ve been treated for an injury since 1 October 2018, send CAP Form 162 CAP Member Physical Exam (Atch 5) by 1 May 2019. Be sure to show your medical provider the memo at Atch 6.

o If you might be taking over-the-counter medications while participating in PJOC, send CAP Form 163 Permission for Provision of Minor Cadet Over-the-Counter Medication (Atch 7) by 1 May 2019. We highly recommend all cadets age 17 and younger submit this form so that you may take medication recommended by our medical staff during the event. This could make the difference between continuing to participate and departing the activity early.

o Send Travel Information Form (Atch 8) by 1 June 2019 o RSVP and pay for graduation banquet guests by 20 July 2019 o Travel to PJOC, in-processing, and required welcome briefing are on 20 July 2019 o Graduation Banquet is on 27 July 2019 o Departure travel is on 28 July 2019

Arthur G. Levesque

ARTHUR G. LEVESQUE, Lieutenant Colonel, CAP Director, PJOC

Attachments: 1. PJOC Cadet Information Form 2. Medical Information and Consent Form (2a for age 17 & younger, 2b for 18 & older) 3. CAPF 160 CAP Member Health History Form 4. CAPF 161 Emergency Information 5. CAPF 162 Physical Exam 6. Memo for Medical Providers authorizing participation 7. CAPF 163 Over-the-Counter Medications 8. Travel Information Form 9. Requirements to Attend PJOC 10. Cadet Conduct Guidelines

11. PJOC Physical Fitness Evaluation Standards and Instructions 12. PJOC Physical Fitness Affidavit 13. PJOC Equipment Pack List 14. PJOC Key Personnel Roster

15. PJOC Checklist

Attachment 1 PJOC CADET INFORMATION FORM

RETURN THIS FORM NO LATER THAN 1 May 2019 Complete all information regardless of student age

NAME: ________________________________________________________ RANK: __________ (LAST) (FIRST) (MI) CAPID NUMBER:__________________ SEX: M / F AGE: _______ DATE OF BIRTH: __________ CAP WING:____________ CHARTER NUMBER:_____________ PJOC T-SHIRT SIZE: ___________ CADET E-MAIL ADDRESS: _______________________________________ PARENTS’ / GUARDIANS’ E-MAIL ADDRESS: ____________________________________________ NUMBER OF GUESTS ATTENDING BANQUET (do not include cadet): ______________ PARENTS’ OR GUARDIANS’ NAME: _____________________________________________________ HOME ADDRESS:_____________________________________________________________________ (# AND STREET) (CITY) (STATE) (ZIP) Cadet’s Primary Phone #: __________________________________ Type: Home ___ Cell ___ Work ___ (AREA CODE) (NUMBER) Cadet’s Alternate Phone #: _________________________________ Type: Home ___ Cell ___ Work ___ (AREA CODE) (NUMBER) Parent/Guardian’s Primary Phone #: __________________________ Type: Home ___ Cell ___ Work ___ (AREA CODE) (NUMBER) Parent/Guardian’s Alternate Phone #: _________________________ Type: Home ___ Cell ___ Work ___ (AREA CODE) (NUMBER) EMERGENCY CONTACT DURING ACTIVITY: If parents / guardians cannot be reached at the above numbers during the activity, please provide emergency contact information for that time period: NAME(s): ________________________________________________ PHONE NUMBER(s): _____________________ ______________________ Do you have any physical disabilities or injuries? ____ YES ____ NO If yes, please give details separately. We read and understand all information included in the Pararescue and Survival Orientation Course letter dated 2 March 2019 and attachments. In addition, cadet verifies he/she meets minimum PJOC physical fitness requirements. Parent / Guardian / Financially Responsible Party certifies they will pay any extra travel expenses incurred if cadet is eliminated from PJOC for any reason (CAPR 60-1). Minimum of three signatures required. ____________________ _______________________ __________________ _____________________ Parent/Guardian’s Name and Signature (if cadet is under 18) Cadet’s Printed Name and Signature (Required) ________________ _ _____ _____________________ Financially Responsible Party’s Printed Name and Signature (Required) ________________ _ _____ _____________________ Squadron Commander or Deputy Commander for Cadets Printed Name and Signature (Required)

Attachment 2a PJOC MEDICAL INFORMATION AND CONSENT FORM

*Complete this form only if the student will be 17 years of age or younger at ANY TIME during PJOC. If the student turns 18 years of age on or before 20 July 2019, they must complete Attachment 2b. I, _______________________________________, parent/legal guardian of __________________________, (NAME OF PARENT OR LEGAL GUARDIAN) (NAME OF CADET) _______, _______________________________________________________, ______________________ (AGE) (HOME ADDRESS – house #, street, city, state, zip) (TELEPHONE – area code & #) hereby give consent and permission for the PJOC staff or their designated representatives to take my minor child to any medical facility during the period of 20 – 28 July 2019 AND I give my consent for examination, treatment, and/or surgical procedure(s) as deemed necessary by the medical staff.

1. Is your cadet a Fitness Category I (Unrestricted) as described in CAPR 60-1? YES / NO If NO, please explain below or on the back of this form.

2. Does your cadet have any physical disabilities or injuries in the past 3 years? YES / NO If YES, please explain below or on the back of this form.

3. Is your cadet currently under treatment by a medical provider? YES / NO If YES, please provide condition, dates, and medication below or on the back of this form. Required: If you answered YES to #2 or #3 above, please send medical provider’s clearance

using CAP Form 162 (Atch 5) and show your medical provider the memo at Atch 6. Please make sure the medical provider understands the physical and mental rigors of PJOC and believes the cadet is safe to participate. Please take the welcome package, Memo at Atch 6, and CAP Form 162 to the appointment. Cadets planning to attend PJOC should be cleared for all aspects of PJOC.

4. Is your cadet taking any prescription medications? YES / NO

If YES, please provide medication, dosage, reason below or on the back of this form.

5. Does your cadet use any over-the-counter medications, vitamins, or supplements? YES / NO If YES, please report this information using CAP Form 163.

Required: If you answered YES to #4 or #5 above, please ensure cadet has supply with them

for the period of the activity, in the original containers, in a sealable (ziplock style) bag with the cadet’s name on the label. Cadets will not be allowed to take any medications or supplements that are NOT listed on this form and CAP Form 163, except at the discretion of PJOC medical personnel. Medications will be the responsibility of the STUDENT.

6. Does your cadet have any allergies to medication, food, seasonal allergens? YES / NO

If YES, please list details and reactions below or on the back of this form.

_____________________________________________ ____________________________ (SIGNATURE OF PARENT OR GUARDIAN) (DATE SIGNED)

Attachment 2b PJOC MEDICAL INFORMATION AND CONSENT FORM

Please complete this form if the cadet turns 18 years of age on or prior to 20 July 2019 I, _______________________________________, ______, ____________________________ (NAME OF CADET) (AGE) (TELEPHONE – area code & #) ________________________________________________, hereby give consent and permission for the (HOME ADDRESS – house #, street, city, state, zip) PJOC staff or their designated representatives to take me to any medical facility during the period of 20 – 28 July 2019 AND I give my consent for examination, treatment, and/or surgical procedure(s) as deemed necessary by the medical staff.

1. Are you in Fitness Category I (Unrestricted) as described in CAPR 60-1? YES / NO If NO, please explain below or on the back of this form.

2. Have you had any physical disabilities or injuries in the past 3 years? YES / NO If YES, please explain below or on the back of this form.

3. Are you currently under treatment by a medical provider? YES / NO If YES, please provide condition, dates, and medication below or on the back of this form Required: If you answered YES to #2 or #3 above, please send medical provider’s clearance

using CAP Form 162 (Atch 5) and show your medical provider the memo at Atch 6. Please make sure the medical provider understands the physical and mental rigors of PJOC and believes the cadet is safe to participate. Please take the welcome package, Memo at Atch 6, and CAP Form 162 to the appointment. Cadets planning to attend PJOC should be cleared for all aspects of PJOC.

4. Are you taking any prescription medications? YES / NO

If YES, please provide medication, dosage, reason below or on the back of this form.

5. Do you use any over-the-counter medications, vitamins, or supplements? YES / NO If YES, please report this information using CAP Form 163

Required: If you answered YES to #4 or #5 above, please ensure you have supply with you for

the period of the activity, in the original containers, in a sealable (ziplock style) bag with your name on the label. Cadets will not be allowed to take any medications or supplements that are NOT listed on this form and CAP Form 163, except at the discretion of PJOC medical personnel. Medications will be the responsibility of the STUDENT.

6. Do you have any allergies to medication, food, seasonal allergens? YES / NO

If YES, please list details and reactions below or on the back of this form

______________________________________________ ____________________________ (SIGNATURE OF NON-MINOR CADET) (DATE SIGNED)

CAP MEMBER HEALTH HISTORY FORM

This information is CONFIDENTIAL and for official use only. It cannot be released to unauthorized persons. Answer all questions as accurately as possible so that the activity or encampment staff can make themselves aware of any pre-existing medical problems or conditions and be alert to help you. This form will also provide medical information in a case when you are unable to do so.

Name (Last, First, Middle) Grade CAPID Charter Number

Date of Birth Height Weight Hair Color Eye Color Gender

Allergies: List Names of Medication or Other Allergies (i.e., bee sting, food, plants) and types of reactions; please note food allergy details with dietary restrictions below on back as well.

Do You Now Have Or Have You Ever Had Any Of The Following? Explain any yes’ in the remarks section below or attach additional sheet. Conditions not specifically noted below having the potential to interfere with performance during the special activity or encampment should be documented in the remarks section.)

If “Yes” is marked in an item with multiple choices, please circle which problem applies. No Yes No Yes

Decreased vision, glaucoma, contacts Chronic or recurring injuries Ear infections, perforation Activity, mobility restrictions Difficulty equalizing ears Use of cane, walker, wheelchair Hearing loss, hearing aid Back or neck pain or injury Allergies, nasal stuffiness Migraine or severe headaches Anaphylaxis, serious allergic reaction Dizziness or fainting spells Asthma, emphysema (COPD) Head injury, unconsciousness Ever use an inhaler Epilepsy or seizure Short of Breath with activity Stroke, paralysis Heart Attack, chest pain, angina Thyroid problems (low or high) Heart murmur, heart problems Diabetes, high or low blood sugars Congestive heart failure Cancer, leukemia Irregular or rapid heartbeat Blood disease, hemophilia High or low blood pressure Motion sickness Stomach trouble, ulcers Special diet, food allergies Hepatitis or liver problems Current bedwetting problems Diarrhea, constipation ADD (Attention Deficit Disorder) Hernia or rupture Mental illness (bipolar, other) Kidney disease or stones Depression, anxiety, suicidal Prostate problems (men) Admission to the hospital Frequent urination Other chronic medical illnesses Menstrual cramps (women) Sleep disorder, sleep apnea Broken bone, joint problems Serious Injury

CAPF 160 JUN 13 OPR/ROUTING: HS

Dietary Restrictions or Limitations (List any dietary restrictions like food allergies, diabetes, gluten-free, vegetarian diets, etc.)

Past Surgical History (List all surgeries including tonsils, ear tubes, appendix, gall bladder, hernia, hysterectomy, heart, heart catheterization, bone and joint and all other surgeries.)

Date Tetanus Booster Hepatitis Vaccine

Pneumonia Vaccine

Varicella Immuni-zation/chickenpox Influenza Vaccine

No Td or Tdap No No No No Date: Date: Date: Date: Date:

Medication Information - Include supplements, over-the-counter medicines, herbals, creams, etc., or write “None”.

Name of Medication/Inhaler Tablet Strength

Times taken per day

Reason for Medication

Any Special Dosing or Storage Instructions (i.e., as needed, with meals, must be refrigerated, etc.)

1.

2.

3.

4.

Social History Tobacco Use (packs per day, years smoked, smokeless tobacco use)

Occupation (student or other) Religious Preference

Remarks (Attach additional sheet if needed)

CONSENT FOR MINOR CADET PARTICIPATION, MEDICATIONS, TREATMENT I give permission for full participation in CAP programs, subject to any limitations noted herein.

My signature below evidences my consent for my child/ward to possess and self-administer the prescription medications listed above I understand that there are legal limitations imposed on CAP senior members with regard to the involuntary administration of medications to my child/ward. (Cross out if permission is denied).

In case of emergency, I understand every effort will be made to contact me. In the event I cannot be reached, I hereby give my permission to the licensed health-care practitioner selected by the adult leader in charge to secure proper treatment, including hospitalization, anesthesia, surgery, or injections of medication for my child. Medical providers are authorized to disclose to the adult in charge exam/test results and treatment provided.

___________________________ ________________________________________________________________________________________________________

DATE SIGNATURE OF PARENT/GUARDIAN CAP Form 160 Reverse

EMERGENCY INFORMATION (Insurance/Physician Information, Emergency Contacts, Minor Consents

Name (Last, First, Middle) Grade CAPID Charter Number

Mailing Address (Number and Street) City State Zip Code

(Area Code) Home Phone (Area Code) Cell Phone

Primary Insurance Information (Please attach copy of insurance cards, front and back) Medical Insurance Company Policy Number Group Code/Number Co-Pay Amount

$

Prescription Coverage Company Policy Number Group Code/Number Co-Pay Amount $

Family Physician Name (Area Code) Phone

Mailing Address (Number and Street) City State Zip Code

Emergency Contact (Parent, guardian or closest relative to be notified in case of emergency) Name Relationship to Applicant

Mailing Address (Number and Street) City State Zip Code

(Area Code) Pager (Area Code) Cell/Mobile Phone (Area Code) Day Phone (Area Code) Night Phone

Unit Commander Name and Grade Unit Name

(Area Code) Unit Commander Day Phone (Area Code) Unit Commander Night Phone

CAPF 161, JUN 13 OPR/ROUTING: HS

CAP MEMBER PHYSICAL EXAM FORM Name (Last, First, Middle) Grade CAPID Charter Number

Note to Physician: Please complete the physical exam form below. Based on your knowledge of the individual and the information on the CAPF 160, CAP Member Health History Form (which the member should present to you), please determine a Physical Participation Category.

Vital Signs Height Weight Blood Pressure Pulse Temperature Respirations

Corrected distance vision: Right Eye / 20 Left Eye / 20 Can the member hear a normal conversational voice at a distance of 6 feet with the member’s back to the examiner? Yes No

Physical Examination Normal Yes No Describe Abnormalities

General AppearanceOrientation Skin HEENT Heart Lungs Abdomen Hernia Neurological Urological Endocrine Psychological JointsBack

Physical Participation Category (Check One) Category I - Unrestricted. Member is in good health, and may participate in any physical activity without restrictions. Category II - Temporarily Restricted. Temporarily restricted from some or all physical activities due to a temporary medical condition or injury. (Specify restrictions and duration.) Category III - Partially Restricted. Permanently restricted from some physical activities due to medical condition or injury that is chronic or permanent in nature. (Specify restrictions.) Category IV - Indefinitely Restricted. Unable to participate in physical activities and is generally only capable of sedentary activity.

List Restrictions And Duration

Certifying Physician Name Address Phone

Date of Examination Signature

CAPF 162 JUN 13 OPR/ROUTING: HS

Attachment 6

MEMORANDUM FOR Medical Provider

FROM: LtCol Arthur G. Levesque, Director PJOC New Mexico

DATE: 2 March 2019

SUBJECT: 2019 Pararescue and Survival Orientation Course (PJOC) Medical Clearance

1. Civil Air Patrol cadets who participate in PJOC must be in excellent physical condition.2. Camp events require participants to be highly active for several hours per day; they complete

several repetitions of intense calisthenics and are required to run at elevations of 5,000-10,000feet.

3. Most activities take place in a base camp area at elevations of 7,500 – 8,000 feet.4. Recently injured students risk greater injury, extended recovery, and are frequently unable to

fully participate in the course, requiring early departure at additional expense to their family.5. Please consider these facts and review the Welcome Packet provided by the student when

clearing your patient to participate in this event.

Respectfully,

Arthur G. Levesque

ARTHUR G. LEVESQUE, Lieutenant Colonel, CAP Director, PJOC New Mexico

PARARESCUE & SURVIVAL ORIENTATION COURSE

PARARESCUE / COMBAT RESCUE OFFICER SCHOOL KIRTLAND AFB, NEW MEXICO

PERMISSION FOR PROVISION OF MINOR CADET OVER-THE-COUNTER MEDICATION This form may not be usable in some states due to statutes concerning who can administer medications and administration conditions. Wings with such restrictions will publish appropriate additional guidance in a supplement to CAPR 160-1. Name (Last, First, Middle) Grade CAPID Charter Number

Over-The Counter/Non-Prescription Medications The following over-the counter medications may be administered according to package directions by CAP senior members. Cross out any medications not approved.

Acetaminophen (Tylenol) for fever or pain Ibuprofen (Advil, Motrin) for fever or pain Bacitracin or Neosporin antibiotic ointment to prevent infection Hydrocortisone anti-inflammatory rash cream Calamine/Caladryl for poison ivy itch relief Antifungal creams and sprays for treatment of fungal rashes

Visine eye drops for dry, irritated eye relief Op-Con A eye drops for allergic conjunctivitis Benadryl liquid/tabs for allergic reactions Claritin antihistamine for seasonal allergies Robitussin products for relief of cough and cold symptoms Delsym to suppress cough Tums or Maalox for relief of stomach upset

Allergies My child/ward has the following allergies or reactions to over-the-counter medications (list type of reaction):

Consent For Minor Cadet To Receive Over-The-Counter Medications My signature below evidences my consent for CAP senior members to provide over-the-counter non-prescription medications (such as those listed above) to my child/ward if indicated in the reasonable judgment of such senior members. I understand that I will be informed if any such medications are administered.

Date Signature of Parent/Guardian

CAPF 163, JUN 13 OPR/ROUTING: HS

Attachment 8 PJOC TRAVEL INFORMATION FORM

Travel Days are Saturday 20 July Sunday 28 July 2019

Reminder: Arrive No EARLIER Than 0900 and No LATER Than 1500 on 20 July 2019 Depart No LATER Than 1300 on 28 July 2019

If you cannot meet these requirements, please coordinate with us before purchasing tickets. Exceptions may be granted in limited circumstances, based on concerns for cadet safety.

Please email your itinerary OR complete this form and email to PJOC.NM@gmail.com NLT 1 June 2019

CADET’S NAME: ________________________________________

ARRIVAL DEPARTURE

MODE OF TRANSPORTATION: ____________________ ______________________ (air, bus, train, POV)

CARRIER NAME: ____________________ ______________________

FLIGHT # arriving/departing PJOC: ____________________ ______________________

DATE: ____________________ ______________________

TIME arriving/departing PJOC: ____________________ ______________________

PRIVATE VEHICLE DATE & TIME: _______________________ _________________________

If you are departing in a privately owned vehicle with anyone other than your parent / guardian, then parent / guardian must sign below to authorize us to release you for departure with the named individual:

I authorize ______________________ to depart PJOC on __________ with __________________. (Cadet’s name) (Date) (Name of driver)

____________________________________ _________________ Parent’s / Guardian’s signature Date

We provide transportation from airport/bus/train to PJOC for all cadets arriving by commercial transportation. Please contact us if your flight is delayed. Don’t accept voluntary delays (negatively impacts your team). Cadets arriving by airline should collect their baggage and wait outside the baggage claim level at a designated area

which will be identified prior to travel (meeting area will be determined based on anticipated construction patterns). A course representative driving a CAP or USAF vehicle will meet you there. It is NOT necessary to call when you arrive at the airport. We will shuttle cadets from the airport to PJOC throughout

the day at the top of the hour, or more frequently when multiple cadets arrive at the same time. If you’re traveling with a phone, please turn it on when you arrive in the area so we may contact you if needed. Cadets arriving by bus or train should coordinate details with our Administrative Officer prior to travel. Cadets must keep track of luggage while traveling. There won’t be time to replace missing items. For those arriving by POV with family / friends or driving themselves, we will provide information on your reporting

location in separate correspondence. You must bring a driver’s license, CAP ID, vehicle registration and proof ofinsurance to gain access to the base.

If you’re traveling with a phone, please contact your parent / guardian and let them know you arrived safely. You maycontact them from the airport and/or after you’ve arrived at the host base. Please make calls before you in-process.

*Travel will be completed in civilian clothing. You are not permitted to travel in uniform to this activity.Upon arrival, remain in civilian attire until given orders to change into the Air Force style uniform.

When your travel plans are finalized, return this form to: PJOC.NM@gmail.com NLT 1 June 2019

Attachment 9

REQUIREMENTS: PARARESCUE AND SURVIVAL ORIENTATION COURSE

1. Cadets must be at least 15 years of age by activity start date

2. Graduated a basic Wing Encampment

3. Excellent physical condition - must pass PJOC Physical Fitness Evaluation prior to PJOC

4. Physical Participation Category I – Unrestricted. Per CAPP 60-1, paragraph 2.11.2.1, dated 1 February 2018, a cadet in the unrestricted category is determined to be “in good health and may participate in the physical fitness program without restriction.” 5. Cadets must be able to successfully complete the PJOC Physical Fitness Evaluation (1) prior to reporting for the activity, (2) on training day one, (3) at any time during PJOC, and (4) prior to graduation

6. Cadets must participate actively in ALL aspects of training throughout the course, without exception.

7. Cadets must be able to listen to, understand, and follow directions to safely participate in this activity

Any cadet who is eliminated from this course for any reason, to include, but not limited to, self-initiated elimination, failure to meet / maintain standards, failure to train, or any safety violations will NOT be entitled to a refund of tuition or fees paid for this activity.

Attachment 10 PJOC CADET CONDUCT GUIDELINES

1. Clothing Regulations:a. ABUs or BDUs will be the uniform of the day for most activities. For portions of the

activity, you will be on an active duty military installation and your uniform must be ininspection order and boots will be highly polished. Please, no berets or special headgearfrom your wing or other activities. We are seeking a standardized appearance.Uniforms will be IAW CAPM 39-1. Remember, no unauthorized hats or patches, noexceptions.

b. Blue uniform with short sleeve shirt, pants / trousers, belt, tie / tie tab, rank, ribbons,accoutrements, undershirt for males, undergarments, and flight cap (not the wheel cap),will be the uniform for the PJOC Graduation Dinner. The service jacket is NOT worn.

c. Shoes/ sandals will be worn at all times outside. Wear of shoes indoors is highlyrecommended.

d. Only watches and/or identification bracelets may be worn with the uniform. Duringtraining in the field and on the climbing tower, rings and bracelets will be removed.

e. Cadets will maintain a neat appearance at all times.f. Only uniform items listed in CAP Regulations are authorized. Additional uniform items

approved by Wing Commanders for wear within a particular Wing or Squadron are NOTAUTHORIZED for wear at National Cadet Special Activities.

g. Civilian clothing must not display offensive words or images. It must be clean, fitproperly, and not expose excessive skin or undergarments.

2. Grooming Requirements: Cadets will be checked for grooming (haircuts, etc.) upon arrivaland daily thereafter. Any cadet who chooses not to comply with established CAP groomingrequirements will not be allowed to participate in the activity and will be sent home.

3. Smoking/Tobacco: Tobacco use in ANY FORM is not allowed.

4. Alcohol, Drugs, Supplements:a. Cadets are NOT permitted to drink alcoholic beverages.b. Drugs (prescription or over the counter) other than those listed on the Medical

Information and Consent Form, will not be used. Anyone found with illegal drugs will beinvestigated by the appropriate law enforcement agency.

c. Workout supplements of any kind will NOT be permitted at PJOC.

5. Military Customs and Courtesies: Appropriate military customs and courtesies will beobserved at all times. Failure to follow guidance/instructions from PJ/CRO/SERE instructorsor USAF/CAP staff members will be grounds for elimination from training.

6. Integrity: Impeccable integrity is necessary for honor, team building, and safety. Cadets areexpected and required to demonstrate integrity at all times. Breeches of integrity will result inelimination from PJOC. Examples of lack of integrity include, but are not limited to,falsification of information and misleading or evasive answers to staff or instructor questions.

7. Telephone:a. Cadets may travel with cellular phones, and are encouraged to use them to notify family

of your safe arrival at your PJOC host base. However, cellular phones will be turned inat in-processing and returned at the end of the course.

b. Phones in billeting or hotel rooms may not be used.

Attachment 11 PJOC PHYSICAL FITNESS EVALUATION

This test must be conducted in a 3-hour time frame and may be given in any order as long as all callisthenic exercises are grouped together. Cadets are required to complete the test in its entirety prior to PJOC to determine weak/strong points in his/her physical condition. This test is comprised of four events; the member must pass every event. Failure of any event will result in the overall failure of the PFE. The PJOC PFE requirements are designed to test for a minimum fitness level for PJOC.

1. One Mile Run (Males 9:00, Females 10:00) Physical training (PT) clothes and good running shoes are theonly required items. The run must be continuous (non-stop). If a member stops anytime during this run,the test will be stopped and considered a failure. Members will be given a 10-minute break prior to thenext event. Test should be conducted on a measured running track.

Calisthenics: Three calisthenics exercises are evaluated, each with specific time parameters and specific exercise form mechanics. All members will exercise to either muscle failure or time completion, whichever occurs first. The intent is to have members do as many "good form" repetitions in the time allotted or when muscle failure is reached. Allow a 3-minute rest between each calisthenics exercise. Exercise form is strictly enforced during the PFE and during PJOC. Those repetitions done without proper form will not be counted.

2. Pull-ups: 1 Minute (Male 3 repetitions, Females 1 repetitions) Pull-ups are a two-count exercise.Starting position is hanging from a bar, palms facing away from the cadet with no bend in elbows. Handspread is approximately shoulder width apart. Count one; pull the body up until the Adam's apple clears thetop of the bar. Count two; return to starting position. Legs are allowed to bend, but must not be kicked ormanipulated to aid upward movement. If the cadet falls off, stops, or releases the bar, the exercise isterminated.

3. Sit-ups: 2 Minutes (Males 44 repetitions, Females 40 repetitions) Sit-ups are a two-count exercise.Starting position is back flat on the surface, fingers interlocked behind the head, head off the surface, andknees bent at approximately a 90-degree angle. Another individual may hold the cadet's feet during theexercise. Count one; sit up so that the shoulders are directly above the hip/pelvis area or 90 degrees tosurface. Count two; return to the starting position. The exercise is continuous. If the member stops, theexercise is terminated. If the member's buttocks rise from the surface or his fingers are not interlockedbehind his head during the repetition, the repetition is not counted.

4. Push-ups: 2 Minutes (Males 30 repetitions, Females 27 repetitions) Push-ups are a two-count exercise.Starting position is hands, shoulder width apart, with arms straight and directly below the chest on thesurface; the legs are extended, back and legs remain straight. Count one; lower the chest until the elbowsare bent at a 90-degree or lower angle. Count two; return to the starting position. The only authorized restposition is the starting position. If the knees touch the ground the exercise is terminated. The member willnot raise his buttocks in the air, sag his middle to the surface, or raise any hand or foot from their startingposition. If a hand or foot is raised, the exercise is terminated.

Attachment 12 PJOC PHYSICAL FITNESS EVALUATION AFFIDAVIT

Name ______________________________ Gender (M / F) CAPID ___________ Test Date: ___________

Time / Minimum Passing Pass / EVENT Repetitions Reps / Time Fail

1 Mile Run Time in mm:ss ____________ F 10:00 / M 9:00 ____________

Push-ups # completed in 2 minutes ____________ F 27 / M 30 ____________

Sit-ups # completed in 2 minutes ____________ F 40 / M 44 ____________

Pull-ups # completed in 1 minute ____________ F 1 / M 3 ____________

Final (Pass / Fail) ________________

NOTE to Parent / Guardian / Financially Responsible Individual: Your signature certifies that you understand you are responsible for any additional travel expenses if cadet must depart the activity early, for any reason, including poor physical training. If your cadet does not meet the minimum physical requirements to attend PJOC, the cadet is NOT ELIGIBLE to attend

NAME: ___________________________________ RELATIONSHIP: _________________________

CONTACT INFORMATION: ______________________________________________

SIGNATURE: _________________________________________ DATE: ___________

NOTE to Squadron Commander or designated senior member representative (this representative must not be a family member): Your signature certifies the cadet personally demonstrated the above performance according to the attached descriptions. If the cadet does not meet the minimum physical requirements to attend PJOC, the cadet is NOT ELIGIBLE to attend this activity.

NAME: _______________________________________ RANK: ______________

Contact Information: __________________________________________________

POSITION in Civil Air Patrol: ___________________________________________

SIGNATURE: ___________________________________ DATE: __________

NOTE to PJOC Cadet: Your signature certifies you completed the above exercises according to the attached descriptions and monitored by your squadron representative. You also certify that you understand the need to be in excellent physical condition so that you can withstand the rigors of a high altitude, hot, desert environment; and you will work to maintain or improve your fitness level until PJOC is complete.

CADET’S NAME: _____________________________ RANK: ____________

SIGNATURE: ___________________________________ DATE: __________

*Any falsification on this form will lead to the cadet being sent home from the activity.

Attachment 13 PJOC Equipment List

Photos will be provided for select items

1. Current CAP Membership Card 2. Complete Class B, blue uniform including blue short-sleeve shirt with all accoutrements (nametag, rank,

ribbons, badges, etc.) trousers or pants, tie or tie tab, undershirt for males, belt with silver buckle, flight cap, black low-quarter shoes and black socks. This uniform will be worn to the graduation banquet. (Reminder: Travel in civilian clothing is REQUIRED.)

3. 2x Complete field uniforms. Can be Airman Battle Uniforms (ABUs) or Battle Dress Uniform (BDU) including shirt, trousers, T-shirt, belt, cap. Proper ABU/BDU hat required – no baseball caps or berets. BDUs and ABUs will be IAW CAPM 39-1, ABU wear instructions are documented in memo dated 4 May 2016, titled “CAP Transition to Airman Battle Uniform (ABU)”. You MUST bring 2 field uniforms. One must be prepared for inspection. The second uniform is required for safety.

4. 6x t-shirts to be worn with field uniform; Desert tan for ABUs, Black for BDUs 5. 8x Undergarments 6. Black Combat Boots, 1 GOOD pair to be worn with your ABUs (Make sure they are well broken in. You

will be hiking for long distances in your boots. If new, shower wearing your boots and let dry on your feet for quick break in before arriving. Make sure you re-oil boots to preserve them.) If your boots are in rough condition, you may want to invest in a new pair. PJOC activities are tough on our boots. If you don’t think yours will last, our suggestion would be to invest in a new pair. Cochran boots are NOT recommended. Remember you will be inspected wearing these boots, but they will also get dusty & muddy in the field.

7. Hiking Boots. These need to be a good pair of hiking boots that provide good ankle support. (Optional but highly recommended, combat boots can be used for this purpose if desired.)

8. 6 – 8 pair of Boot Socks – wicking fabric such as merino wool recommended 9. Shoe Shine Kit 10. Athletic wear. (shorts, good running shoes, t-shirt, sports bras for females).

a. Shirt x 2 must be gray with your last name written on the front and back – a sharpie permanentmarker works well. We’ll provide a photo example. Pack 2 shirts.

b. Shorts must be black. If you’d like to have a place to carry items while doing PT, consider bringinga pair with pockets.

11. Optional: An additional old pair of running shoes that can get wet and dirty. 12. 4 – 6 pair of athletic type socks 13. Sandals, Flip Flops, or Shower Shoes for use in the field 14. Sweater, sweat shirt, or light jacket (temperatures drop significantly after sunset) 15. Rain Gear

a. NM Course - we recommend jacket and pants in Gore Tex or similar waterproof fabric. May besturdy poncho, but a thin/inexpensive poncho or trash bags will not suffice for rain protection.

b. AZ Course – a sturdy poncho will be sufficient for rain protection, should be large enough to covercadet and pack.

16. Additional poncho for use as water barrier between sleep pad and ground and to protect gear from rain 17. Heavy leather work gloves. Basic work gloves are available at home improvement stores for about

$10. These will get dirty and should not be used for rope work. 18. Rappelling gloves – to be used while doing rope work. Should be double hide and specifically

designed for rappelling. To preserve the safety and life of ropes, rappelling gloves should be used only for rope work. Dirt damages ropes. Input from long term staff who was also a PJOC/APJOC cadet: these gloves are a long term investment; they will last for years if taken care of, even if used often.

19. Sunglasses with safety strap – must meet CAPM 39-1 standards (optional but highly recommended) 20. Safety Glasses with clear lenses & retention strap (Rx Glasses acceptable with retention strap) 21. Cadets must wear eyeglasses instead of contact lenses while in the field. Cadets who wear

eyeglasses should bring a safety strap, and if possible an extra pair of glasses. Contacts may be worn after field training.

22. Watch (optional but highly recommended so you can arrive at scheduled events on time)

Equipment List page 1 of 3

23. Swim attire is likely to be your PT clothing. Please bring appropriate clothing, to protect your modesty, for wear under your PTs during swim activities. For example, boxer briefs for males and a one piece swimsuit for females.

24. Swimming Goggles 25. Pocketknife (maximum blade length 3.5 inches) – must be carried in checked luggage if flying 26. Toiletry items (tooth paste, tooth brush, comb, travel size bar of soap, shaving kit, deodorant, feminine

hygiene, baby wipes, body/foot powder) 27. Baby wipes for field hygiene – recommend 1 to 2 packs of 32 count wipe packages (can be found in

the travel-size section of stores like Target, or the baby items section of most grocery stores) 28. 2 towels – one may be a thin, packable camp towel 29. Foot care items: non-medicated foot powder, blister care items such as mole-skin, band aids, New-

Skin Liquid Bandage, and duct tape 30. Sunscreen 31. Lip moisturizer with SPF protection (like Chapstick) 32. Roll of toilet paper 33. Hand sanitizer (3 oz) 34. Insect repellent (optional) 35. Personal Survival Kit / First Aid Kit (optional) 36. 5x Large plastic trash bags for keeping gear dry 37. Backpack/duffle bag/large dry bag – Used to transport field gear to training location. You will live out

of this bag while in the field, so it must be large enough to transport your gear, yet easy enough to lug from the transport vehicle to the base camp. Staff pick: search under “military A3 bag with straps”. An A3 bag is a large zippered duffle that’s easy to live out of in field conditions. Recommendation: pack all field gear in this backpack/duffle/A3 bag prior to departure from home; pack all non-field gear in separate luggage that will be stored in a secure location on base during field training.

38. Sleeping bag rated for 20 – 30 degrees Fahrenheit 39. A waterproof stuff sack to store your sleeping bag in when not in use. This can be a heavy duty plastic

bag, like a trash compactor type bag or contractor grade trash bag. This item is critical for your safety. 40. Ground sleeping pad 41. Daypack large enough to carry rain gear, change of clothing, 100 ounces of water, food for 24 hours,

and course-issued items during daily activities and long hikes. 42. Containers for transporting 100 ounces of water – can be a combination of hydration bladder(s), hard

or soft plastic re-usable water bottles, or empty quart size sports drink bottles. 43. Compass – Lensatic or Orienteering 44. Whistle 45. Pencils/pens and small notebook in a re-sealable plastic bag 46. Headlamp with spare batteries 47. Flashlight with spare batteries (optional but highly recommended) 48. 550 Paracord – up to 50 feet – many uses. Available at Amazon, sporting goods, and craft stores. 49. Signal Mirror 50. Sewing kit (optional) 51. Several gallon size or larger re-sealable plastic (ziplock-type) bags – You are required to pack clothing

going to the field in these re-sealable bags 52. Civilian clothes, as needed for travel 53. Spending money for booster club or museum store items as desired. You may also need money for

meals on the days you are traveling to and from PJOC. The range of spending money needed will vary by cadet, but consider bringing $50 - $100 if you plan to purchase meals while traveling and you plan to buy items from the booster club or museum. For planning purposes, booster club and museum items may include $10 challenge coins, $25 T-shirts, $50 hoodies, and other memorabilia within this price range. Meals in airports can be expensive – about $10 for a fast food meal.

54. Cash to pay for banquet guests at in-processing. Cost per banquet guest is $30. 55. Thumb drive to copy photos taken during activity (optional) 56. Folder and/or page protector to transport certificates after completion of activity (optional)

Equipment list page 2 of 3

DO NOT BRING ANY FOOD ITEMS. DO NOT BRING ANY TYPE OF CLIMBING OR RAPPELLING EQUIPMENT

THE ABOVE LIST IS ALL THAT IS AUTHORIZED IN THE FIELD. You may travel with snacks, cell phones, mp3 players and other electronic devices but they will be checked in and stored during the activity. Cadets will receive these items back on graduation day.

This office will not provide loaner equipment. It is the student’s responsibility to arrive at PJOC with the listed items. Check with your local CAP unit for assistance in obtaining the items you may need. Many items are related to your safety.

Equipment List page 3 of 3

Item 15

Gore Tex Rain Jacket Can be any color

Item 15 & 16

Poncho Can be any color

Item 13

Shower Sandals Flip flops are fine too

Can be any color

Photos of select items on the PJOC Pack List

Item 7

Hiking Boots Optional item

Item 12

Athletic Socks Any color/style

Item 17

Leather Work Gloves Available at hardware

stores

Item 28

Camp Towel Any color/size

Item 10

Running Shoes Any style/color/brand

Minimalist shoes not recommended due to rocky uneven terrain

Item 10a

Gray Shirt Last name on front &

back with black permanent marker. Use 4

inch or larger block letters.

Item 10b

Black Athletic Shorts Modest length,

pockets may be helpful

Item 36

Large Plastic Bag Many uses

Item 37

Duffle Bag, Backpack, or A3 Bag Used to transport field gear

Any color/style Shoulder straps helpful

Items 38 & 40

Sleeping Bag Rated for 20 degrees And Sleep Pad

Helps block moisture and cold from ground

Item 41

Day Pack Any color/style

Item 42

Hydration Bladder Optional – similar to Camelback

Item 46

Headlamp Bring spare batteries

Questions? Contact pjoc.nm@gmail.com

Attachment 14 PJOC-NM KEY PERSONNEL ROSTER

Contact Information for Our Staff is Sent to Participants but NOT Posted Online

Send Completed PJOC.NM@gmail.com Paperwork to:

All Routine PJOC.NM@gmail.com Communications:

Specific Questions:

Director:

Deputy Director:

INFORMATION FOR PARENTS: In case of a family emergency or if you need to contact your cadet for any reason, please call the listed numbers. Please limit phone calls during the activity to EMERGENCIES ONLY. Students will not have access to telephone, email or any other form of communication during the course.

Our field activity is conducted in an area outside of the host base and cellular service may not be available. We make every effort to check messages daily. While the cadets are in the field they will NOT be able make personal phone calls. If you need to talk to your son or daughter, please realize that it could take 24 hours to get them to an area where there is a phone they can use.

PLEASE LEAVE A COPY OF THIS INFORMATION

WITH YOUR PARENTS, GUARDIANS OR FAMILY

Attachment 15 PJOC CHECKLIST

Use this checklist to help you meet all deadlines for attending PJOC. Please return the required paperwork by stated deadlines or communicate with our Administrative Officer to arrange an extension. Otherwise, you will lose your slot for PJOC. If you are unable to attend PJOC, please notify us at PJOC.NM@gmail.com. PAYMENT OF ACTIVITY FEES National Cadet Special Activities must receive your non-refundable $100 deposit by 31 March 2019 National Cadet Special Activities must receive the balance of your $450.00 activity fee by 30 April 2019 FORMS – Please scan to PDF and sent to PJOC.NM@gmail.com. If you have questions about scanning a form to PDF, we can help you. PFE Affidavit (Atch 12): Complete PFE before paying activity deposit or fee; Sent NLT 31 March 2019 CAP Form 31: Cadet, parent, and witness sign and date; Sent NLT 31 March 2019 PJOC Cadet Information Form (Atch 1): Filled out; signed by cadet, parent/guardian, and financially responsible party; sent NLT 1 May 2019 Medical Information & Consent Form (Atch 2): Signed by parent/guardian (or cadet if age 18+), sent NLT 1 May 2019 CAPF 160 (Atch 3), Sent NLT 1 May 2019 CAPF 161 (Atch 4): Sent NLT 1 May 2019 – Keep an extra copy with you during PJOC CAPF 162 (Atch 5) – only needed if you’ve been treated for an injury since 1 Oct 18. Please show your medical provider the memo at Atch 6 when seeking their approval for participation: Sent NLT 1 May 2019 CAPF 163 (Atch 7) – only needed if you might be taking over-the-counter medications while participating in PJOC. We highly recommend this form for cadets age 17 and younger: Sent NLT 1 May 2019 Copy of current CAP ID Card: Sent with the above forms NLT 1 May 2019 Travel Information Form (Atch 8): Sent NLT 1 June 2019 Keep copies of all these forms in case they get lost in transmission and need to be re-sent. For your peace of mind, we confirm receipt of all paperwork. OTHER ITEMS: PT Program started. Recommend that you repeat the PJOC Physical Fitness

Evaluation at least 30 days before PJOC to ensure you can still pass the evaluation. All required equipment & uniforms on-hand and in serviceable condition. (See/check off equipment list) Key personnel roster posted in place at home that parents/guardian can locate in case of emergency. Cadet Conduct Guidelines reviewed with parents/guardians Just prior to leaving home confirm that emergency contact on CAP Form 161 is current and correct. Hand- carry any changes and submit it during in-processing. Plan to keep a copy with you during PJOC. Just prior to leaving home confirm that medications listed on the PJOC Medical Information and Consent form and CAPF 163 are current and correct. Hand-carry any changes to this information. Hand-carry Arrival Instructions – what to do after you arrive in airport, bus or train station of the host city. Have Key Personnel Roster in hand; contact PJOC staff with any changes in itinerary.