15th Georgia C.o.

A
New Member Application
Date: _____________

Name: ________________________________________________
Date of Birth: ____________________

Address: ____________________________________________________________________
Phone: ___________________
Email (if applicable): ________________________________________

Have you ever been a reenactor before? Yes / No If so, what unit were you a member of?
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What interests you about becoming / continuing as a Civil War reenactor?
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What knowledge do you have (in general) about the Civil War?
____________________________________________________________________________
____________________________________________________________________________
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Do you own any reenacting gear / clothing (please describe)?
____________________________________________________________________________
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What other hobbies do you participate in?
____________________________________________________________________________
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Do you have any previous training in firearms safety (ex: a hunters’ safety course)?
Yes / No

Do you have your own form of transportation to and from events? Yes / No

Would you be able to attend at least two weekend events per year? Yes / No
Have you ever been convicted of a felony? Yes / No If yes, please describe.
____________________________________________________________________________
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I _________________________am fully aware that no response in the above application

guarantees or jeopardizes my acceptance as a member of the 15th Georgia, C.o. A.
I hereby certify that I have answered the above questions honestly and to the best of my
knowledge.

Signature:______________________________________________________
Date:_____________________________________

Parent Signature:________________________________
(IF NEW MEMBER IS UNDER 18)
Date:_________________________