Nags Head Junior Marine Patrol Academy (June 16-20)

Applications for the 2025 Junior Marine Patrol Academy will open at 6 p.m. on January 13, 2025. Cadets will be accepted on a first-come, first-served basis and accepted Cadets will be notified by January 30, 2025.

Indicates required field

Cadet Information

Name

Age

Must be 11 to 14 years old at the time of application.

Sex

Birthdate

Street Address

City/Town

State/Province

ZIP/Postal Code

Uniform Size

This is for a T-Shirt

Grade Completed in 2024-25 School year

Parent/Guardian Information

Name

Street Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Home

Phone Number

Work or Cell

References

(Non-family members only)

Reference 1

Name

Relationship

Phone Number

Reference 2

Name

Relationship

Phone Number

Reference 3

Name

Relationship

Phone Number

Emergency Contact

(Other than Parent/Guardian)

Name

Street Address

City/Town

State/Province

ZIP/Postal Code

Phone Number

Home

Phone Number

Work or Cell

Permission to Attend

I acknowledge and accept my obligations and responsibilities as a student in the North Carolina Junior Marine Patrol Academy. I further agree to uphold the principles of this unique program and abide by the code of conduct. I agree to participate with dedication, respect, and enthusiasm in all phases of training that is required.

Cadet Signature

We have discussed the objectives, code of conduct and expectations of this program with our son/daughter and are pleased that he/she is being offered this opportunity. He/she has our permission and our full support to attend the North Carolina Junior Marine Patrol Academy held at the Oregon Inlet Fishing Center in Nags Head, NC. We understand that no exceptions will be made for special medical or physical requirements.

Guardian Signature

Off