7th Tennessee, Co. G

Membership Application
a volunteer infantry company within the
Washington Civil War Association

PRINTER FRIENDLY VERSION (opens in a new window)

Membership runs from January 1 to December 31 of each year.
You must reapply each year to remain an active member and receive “The Hurricane” newsletter.

DATE:__________________________________ AGE:_______________
APPLICANT'S NAME:_________________________________________________
ADDRESS:___________________________________________________________
CITY:__________________________ STATE: ________________ ZIP_______
PHONE:_____________________ EMAIL: _______________________

CHOOSE ONE:   MILITARY     CIVILIAN        BOTH

WHOM DO WE CONTACT IN CASE OF EMERGENCY?


DO YOU HAVE ANY MEDICAL CONCERNS THAT WE SHOULD BE CAREFUL OF OR KNOW ABOUT IN CASE OF EMERGENCY?


LIST ANY SKILLS, HOBBIES, OR TALENTS THAT MAY BENEFIT THE COMPANY:


I hereby acknowledge that I am fully aware of the nature and purpose of the activities of the 7th Tennessee and the Washington Civil War Association. I understand that these activities are potentially dangerous, and I voluntarily accept any risks involved. I agree to be bound by the rules and policies of the 7th Tennessee and the Washington Civil War Association, and to obey the direction of the governing officials.

SIGNATURE OF APPLICANT________________________________________

Mail this form with yearly dues of $16.00 to Company Commander:
Terry Mourning
3523 E. 28th Ave.
Spokane WA 99223
seventhtennessee@yahoo.com
(509) 536-4252
Make Check payable to 7th Tennessee
We must have this application filled out, the 7th Tennessee
and WCWA dues paid, and the WCWA Safety test completed
before you can participate in any event this season.
Don’t wait! Fill this out and return it today.


Last updated October 29, 2005.