Membership Application Form
Membership Type (choose one)
New Member
Renewal
Rank/Participation (choose one)
Conscript/New Recruit (no kit)
Tiro- 1st year (Basic Kit acquired)
Mile- 2nd year (Full Kit acquired)
Advanced- 2nd + year (Full Kit +)
Family (2 or more members)
Civilian (adjunct membership)
Other (Gk Hoplite, Celt, etc.)
First Name
Last Name
Address 1
Adress 2
City, State and Zip Code
Home Phone (no dashes or dividers)
Cell Phone (no dashes or dividers)
Email Address
Date of Birth *Must be over 18 to join
Emergency Contact- indicate relationship
Emergency Contact Number
*Roman Persona Name (see suggestions)
**Additional Family Members
(indicate names, gender, and ages)
Who recruited/invited you to join
Any Additional Materials to Loan
Extra armor to loan
Extra weapons to loan
Extra Roman clothing to loan
Vehicle Rideshare
Related Reading Completed
Attire Page
Membership Page
FAQ Page
Suggested Online Reading
Other Roman related texts
Expectations
(Briefly describe your expectations as a Roman, i.e., things you need help with, interests that have drawn you into Ancient History, or goals)
Skills
(Briefly include any skills you possess that may be useful to us as a group.)
Experience
(Briefly list any related experience with living history groups, Roman legions, SCA, or other.)
Any Special Needs/Challenges
No
Yes
Explanation
(If you answered "yes" to the above question, please briefly explain.)
***Agreement to Rules and Regulations
I agree