FRIENDS OF THE NAVAL ACADEMY (FONA) PASS REQUEST
Midshipman
Name/Last                                                        
First                                         Middle Initial  
SSN                   Date of Birth (MMDDYY)            
Parent/Guardian
Name/Last                                                        
First                                         Middle Initial  
SSN                   Date of Birth (MMDDYY)            
Phone                     Previous FONA Number (if any)            
Previous FONA Reason/Basis (i.e.Sponsor, Parent)                                      
Parent/Guardian
Name/Last                                                        
First                                         Middle Initial  
SSN                   Date of Birth (MMDDYY)            
Phone                     Previous FONA Number (if any)            
Previous FONA Reason/Basis (i.e.Sponsor, Parent)                                      
First Vehicle Info
Make                           Model                          
License Plate Number                           State    
Second Vehicle Info
Make                           Model                          
License Plate Number                           State    
FONA passes are for official use of the holder designated hereon. Use or possession by any other person is unlawful and will make the offender
liable to heavy penalty. 18USC 499, 506 and 701
I hereby certify that:
1. I will abide by all traffic, parking and security regulations.
2. I will submit to search of my vehicle as may be ordered  by competent authority.
3. My insurance policy meets the minimum established by the Department of the Navy, and/or the State or locality where the vehicle is operated.
4. The vehicle has satisfactorily met inspection requirements of this State or locality, where required.
5. I further understand that the government has no liability for loss or damages not attributable to negligence of employees on official duty.
6. I have read and understand the Privacy Act Statement below:
Privacy Act Statement: Authority: 5 USC 301, Executive Order 9397.
Principal Purpose: To apply for a Friends of the Naval Academy Pass.
Routine Uses: To provide a means of identification for civilian personnel while on the US Naval Academy.  All information is retained within the U.S.
Naval Academy Security Department and will be primarily used to verify individual identities and to locate individuals when necessary. It may,
however, on some occasions be released to other government or law enforcement agencies for official purposes only.
Disclosure: Voluntary. Failure to provide the requested information will result in being denied a Friends of the Naval Academy Pass.
1. Vehicular access, traffic, parking and security management.
Signature of Parent/Guardian             Date:        
       
                                     
Signature of Parent/Guardian             Date: