Name:________________________________ Date:___________________

Address:__________________________________________________________

City:__________________________ State:_______________ Zip______________

Home Phone:_________________ Work Phone:___________________________

Employer:___________________________ Occupation:______________________

Spouses Name:_______________________ Does He/She Participate?___________

Any Reenacting Experience?__________ What Unit?________________________

Are you now a active member of any unit?_________________________________

What are your expectations from this hobby?_______________________________

Any Special Interest or Talent?__________________________________________

__________________________________________________________________

Medical Information

Family Doctor____________________ Phone:______________________________

Do you wear contacts or glasses:_______________

Do you have any medical conditions?_____________________________________

In case of an emergency, whom should we contact:__________________________

___________________________________________________________________


The First Tennessee Infantry Regiment Inc. is not liable for any accidents involving its members. Insurance is solely the responsibility of the individual. By signing this application, you waive all liability whatsoever from this unit. Applicants under the age of eighteen (18) must supply written permission of parent or guardian before membership can be approved. This permission must be notarized. The signer also agrees to abide by the Rules and Regulations of the 1st Tennessee Infantry Regiment. 


Signature of applicant:_____________________________________________


Signature of Director:______________________________________________


Date:____________________ Witness:______________________________ 

Conditions?_____________________________________



In case of an emergency, whom should we contact:__________________________


___________________________________________________________________


The First Tennessee Infantry Regiment Inc. is not liable for any accidents involving its members. Insurance is solely the responsibility of the individual. By signing this application, you waive all liability whatsoever from this unit. Applicants under the age of eighteen (18) must supply written permission of parent or guardian before membership can be approved. This permission must be notarized. The signer also agrees to abide by the Rules and Regulations of the 1st Tennessee Infantry Regiment. 


Signature of applicant:_____________________________________________


Signature of Director:______________________________________________


Date:____________________ Witness:______________________________