Membership Application

Last name;       

First name;       

Middle initial;       

Age;       

Gender;       

Street address;       

City;       

State;       

Zip code;  

Day phone;       

Evening phone;       

E-mail address;

Previous and/or current affiliations;

Special skills:

Level of any previous reenacting experience;

Why do you want to join the 4th Texas?

How should we contact you? day phone evening phonee-mail snail mail

Thank you for filling out our application. We hope to create a quality relationship with each individual who joins the 4th.

"The Lone Star Guard"

"Citizens for Independence"