of Lancaster County, PA
 

Print & Mail Application to:
Pennsylvania State Police, c/o Camp Cadet Director
2099 Lincoln Highway East, Lancaster, PA 17602

Last Name: ________________________________ First Name: ______________________________ MI: _____


Address: ___________________________________________________ Age: _____ Date of Birth: ___/___/___


City: ______________________________ Sex: Male Female (circle one) Height: _____' _____" Weight: _____ lbs.


State: _________________ Zip Code: _________ Telephone: _______________________________


School: ___________________________________ School District: ____________________________________


Parent or Guardian: _____________________________________________________________________________________________


Circle sizes:      Adult Men's Shirt Size: S   M   L   XL            Adult Men's Shorts Size: S   M   L   XL

Application must be received by April 15, 2007