|
|
|
Application for membership in the 137th NY Full Name:Date: Age & DOB::Home Phone: Sex:M F Email Address: Street Address: City: State: Zip: Emergency contacts: 1.Name:Phone: 2.Name:Phone: Yes No Have you ever been convicted of a felony crime? Yes No Are you a member of any other history organization? If so, What?
May the 137th NY add the following information to their website? Yes No Your Picture Yes No Your Email Address Yes No Your Phone Number Yes No Have you read, & understand the by-laws of the USV & 137th? Yes No Have you received and filled out a medical form? What impression do you wish to portray? Military Civilian Musician Members Signature: Date: *Parent/Guardian Signature: Date: *Parent signature required if under the age of 18. Families: Please fill out a separate application for each member. note- this form is not submit able thru the website as a signature is required
|
|
|