milius family and friends cruise info package

8/6/2019 MILIUS Family and Friends Cruise Info Package

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USS MILIUS (DDG 69)

FAMILY AND FRIENDS DAY CRUISE INFORMATION PACKAGE

The Officers and Crew of USS MILIUS (DDG 69), welcome you aboard.MILIUS is the 19th Arleigh Burke Class Destroyer and was commissioned in1996. She is named in honor of a courageous Naval Aviator, CAPTAIN Paul L.Milius, who gave his life for his aircrew during combat action over Laos in1968, giving us our motto of Alii Prae Me, which translates to OthersBefore Self.

MILIUS is built around the Aegis combat system and the SPY-1D multi-function phased array radar. A multi-mission capable ship, MILIUS is one of21 Ballistic Missile Defense capable platforms. Her last four deploymentswere Ballistic Missile Defense patrols -- to detect and track ballisticmissiles of all ranges including Intercontinental Ballistic Missiles andreport track data to the missile defense system. We can expect this will be afocus area for future deployments.

Your Sailors have been working very hard since their last deployment.With most of the focus for the past few months on INSURV, long hours, andbusy weeks; we now welcome you aboard to show you the results of your Sailorsefforts. Your Sailors are truly exceptional and they are excited to show you

all about what they do. Please feel free to take this day to learn from yourSailor, to follow them and to share a glimpse of what they do every day outat sea defending the freedoms of the United States of America and its people.

Before you come aboard, there are some minor administrative documentswe need filled out to brief our medical staff on your health background; toensure your safety and to make sure you come prepared with the rightclothing, knowledge and excitement! The three documents are:

1. Family and Friends Day Cruise Registration Form2. USS Milius (DDG 69) Medical Questionnaire3. USS Milius (DDG 69) Medical Waiver of Claim

We need one Registration form listing each person in the family orgroup. If your group is larger than 4 guests, please fill out as manyadditional registration forms needed to cover all guests. In addition to theregistration form, we need one Medical Questionnaire and one Medical Waiverof Claim for each individual guest coming aboard. Please fill these forms outand give them to your sponsor to turn in. The Registration Form and MedicalQuestionnaire are due by August 25th. If unable to turn in the Waiver of Claimform with the other two, the Waiver of Claim can be turned in the morning ofthe 29th of August.

General Questions:

1. How do I get to the ship if I am not coming with my sponsor?

a. Make sure to fill out your car information on the registrationform. You will be entering the base via Gate 7 at the

intersection of Harbor DR and Vesta Street.

b. GATE 7 Hours (Wet Side - Harbor Drive and Vesta Street) 0530 -2000, Monday Friday

c. From North taking I-15 South:

Take I-15 SouthTake the I-5 NMerge onto Harbor DR via EXIT 11A toward CIVIC CENTER DRTurn left onto Vesta Street at Gate 7.

d. From North taking I-5 South:


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Take I-5 SouthTake the 28th St SOUTH exitTurn left onto HARBOR DRIVE (after train tracks)Turn right onto Vesta Street at Gate 7.

e. From South:Take I-5 North

Merge onto HARBOR DR via EXIT 11A toward CIVIC CENTER DRTurn LEFT onto Vesta Street at Gate 7.

f. When you get to the gate, there will be a MILIUSrepresentativemaking sure you have base access and directing you to the Familyand Friends Day Cruise Parking lot. Make sure all guests bringtheir state or government issued ID cards. Our ship is located onPier 7.

2. What should I bring with me? What should I leave at home?

a. Recommended to bring:

i. Sunscreen, Water Bottle, Sunglasses, Camera, Camping/BeachChair, Hat, Sweatshirt, State/Government issued ID Card(Drivers license/passport/military ID), seasicknessmedication.

b. Do Not Bring:i. Knives, Guns, Ammunition, Alcohol, Laptops, USB devices,

Thumb drives.


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Once again, we are looking forward to having you aboard USS MILIUS. We hopeyour stay is exciting and safe.

FAMILY AND FRIENDS DAY CRUISE REGISTRATION

DEPART: Naval Station San Diego, San Diego, CATime 0900 Monday 29 Aug 2011

ARRIVE: Naval Station San Diego, San Diego, CATime 1630 Monday 29 Aug 2011

Name: ___________________________________________________________Age (Minimum age for guests is 08 years old): ____________________Sponsor: _________________________________________________________Car Information (If coming separately from Sponsor):Color:__________ Make:__________ Model:__________ Tag #:__________IN CASE OF EMERGENCY CONTACT:

*Please provide (2) contacts*Emergency contact cannot be sponsor, and cannot be anyone else ridingMILIUS Family and Friends Day Cruise.

(If you have more than 4 guests, please continue guest registration ona separate registration sheet)

Guest 1: __________________________________________________________

Address: __________________________________________________________

__________________________________________________________

Phone: __________________________________________________________

Guest 2: __________________________________________________________

Address: __________________________________________________________

__________________________________________________________

Phone: __________________________________________________________

Guest 3: __________________________________________________________

Address: __________________________________________________________

__________________________________________________________

Phone: __________________________________________________________

Guest 4: __________________________________________________________

Address: __________________________________________________________

__________________________________________________________


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Phone: __________________________________________________________

SIGNATURE OF LEGAL GUARDIAN RELATIONSHIP OFGUARDIAN

DATE SIGNED

USS MILIUS (DDG 69)

FAMILY AND FRIEND DAY CRUISE 2011GUEST EMBARKATION MEDICAL QUESTIONNAIRE (MUST

BE COMPLETED BY ALL PROSPECTIVE GUESTS)

1 HAVE YOU NOW OR HAVE YOU EVER HAD ANY OF THE FOLLOWING?(CIRCLE YES OR NO)

YES NO SHORTNESS OF BREATH YES NO HIGH BLOOD PRESSURE

YES NO DIZZINESS YES NO CHEST PAIN/HEART ATTACK

YES NO HAY FEVER YES NO ASTHMA/WHEEZING

YES NO STROKES YES NO WEAKNESS

YES NO EASILY FATIGUED YES NO KIDNEY STONES

YES NO SLEEP WALKING YES NO ARTHRITIS

2 IF YOU CLIMBED THREE FLIGHTS OF STAIRS, WOULD YOU HAVE TO STOPDUE TO CHEST PAIN, LEG PAIN, OR SHORTNESS OF BREATH? YES NO

3 DO YOU HAVE ANY OTHER MEDICAL CONDITION THAT OUR MEDICALDEPARTMENT SHOULD BE AWARE OF THAT WAS NOT PREVIOUSLYMENTIONED? YES NO (IF YES, PLEASE EXPLAIN)

4 DO YOU REQUIRE A SPECIAL DIET? YES NO (IF YES, PLEASE EXPLAIN)

5 ARE YOU SUSCEPTIBLE TO MOTION OR SEA SICKNESS? YES NO

6 ARE YOU CURRENTLY UNDER A DOCTOR'S CARE? YES NO (IF SO, WHAT

CONDITION)

7 WHAT MEDICATIONS DO YOU CURRENTLY TAKE AND HOW OFTEN?

MEDICATION FREQUENCY MEDICATION FREQUENCY

8 IF YOU ANSWERED "YES" TO ANY QUESTIONS OR HAVE MEDICATIONLISTED, OBTAIN A LETTER FROM YOUR PHYSICIAN REGARDING THEADVISABILITY OF YOUR PARTICIPATION IN THE GUEST EMBARKATION.THE LETTER MUST ACCOMPANY THIS FORM WHEN RETURNED.

9 I HEREBY CERTIFY THAT THE ABOVE INFORMATION IS TRUE AND

CORRECT TO THE BEST OF MY KNOWLEDGE, AND AUTHORIZEEMERGENCY MEDICAL CARE FOR MYSEL (OR APPLICANT, IF APPLICANTIS UNDER THE AGE OF 18).

SIGNATURE OF APPLICANT, OR LEGAL GUARDIAN OF MINOR UNDER 18 DATE

*FILL OUT 1 FORM FOR EACH PERSON EMBARKING


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USS MILIUS (DDG 69)

WAIVER OF CLAIM AND CONSENT TO TREATMENT FORM RELATING TO EMERGENCY MEDICAL

AND DENTAL CARE WHILE EMBARKED IN A U.S. NAVY SHIP

*FILL OUT 1 FORM FOR EACH PERSON EMBARKING

I,_________________________ request permission for myself and/or theminor,_________________________, to embark as a guest onboard USS MILIUS (DDG69) for a Family and Friends Day Cruise in the Southern California OperationArea. Upon approval, I hereby release and discharge the government of theUnited States of America, the Department of the Navy, its officers,successors and assignees, from any and all claims of any nature or kindwhatsoever that I or my assignees have or in the future may have against anyof the aforesaid parties as the result of my embarking aboard USS MILUS (DDG69). Knowing the dangers, events, and circumstances of the premises, Iconsciously, knowingly, and voluntarily accept the risk of injury or damageto property that may arise.

Further, I hereby consent to all emergency medical or dental treatment whichmay, in the professional judgment of the Senior Medial Department

Representative of USS MILIUS (DDG 69), become necessary while I and/or theabove named minor are embarked aboard. I understand that emergency care istreatment to preserve life or prevent further injury, and is the only type ofcare available and authorized for me aboard ship. Transportation to anextended care facility may be required as an adjunct to authorized emergencymedical or dental care. I realize that there is a limited range of extendedcare available onboard USS MILIUS (DDG 69) for people with chronic orincipient medical problems. I affirm that I do not and/or the above namedminor does not require extended care. I understand that if medical or dentalcare is received, and if the above minor or I are not otherwise eligible toreceive such care, I may be obligated to reimburse the U.S. Government perapplicable U.S. Navy instructions.

_________________________ _________________________ __________Printed Name of Adult Signature of Adult DateOr Guardian of Minor or Guardian of Minor

______________________________ ____________Sponsors Last Name, First Rank/Rate

______________________________ _____________Department/Division IVCS Ext.

milius family and friends cruise info package

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