Name:______________________________________________________
Address:______________________________________________________
City:___________________________________ State:_______ Zip: ___________
Phone #: ___________ Other phone #: ___________
E-mail address:___________________________________
Date of birth: ___________ Height: ___ Weight: _____
Prior military experience:______________________________________________________
Briefly describe your interest in miltiary history/reenacting and why you want to join IR23:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Please list any technical expertise or special qualifications you may have which would be of use in IR23, i.e. leather working experience, gunsmithing, tailoring skills, translating abilities, combat experience, etc.:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Preferred Reenactment Type:
German Level:
Please give us a general idea of your level of German. Also, be honest--about your language level, this is not a competition--we are simply trying to get a handle on whether we can spit out German commands at you and have you understand. It's not so fun for you if we cause your eyes to glaze over and little puffs of smoke to start coming out of your ears ;-Þ.
None
I affirm that I am not a member of, nor do I embrace any of the beliefs of, any radical or subversive group whose aims include the violent overthrow of the United States Constitution.
Signature: