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Membership Application Form

Personal Details

Title:

 

Full Name

 

Address :

 

 

 

 

 

 

 

 

 

Post Code

 

Telephone

Home

 

Work

 

E-mail Address

 

Date of Birth

 

Age Now

 

Height
(Males)

 

Own
Transport?

YES / NO

 

 

Interests, skills, etc

Which aspects/periods of Roman History interest you most?

 

 

 

Have you any skills /hobbies which might be helpful to the Society?

 

 

 

Activities/displays in which you are willing to take part?

Drill squad

 

Armour making 

 

Religion

 

Spinning/weaving

 

Food

 

Hair/makeup

 

Art/literature

 

Talks/presentations

 

Clothing

 

(Tick as appropriate)

Other ( please specify)

 

If drill squad, please tick
whether you wish to enrol in

Legionary

infantry

 

Auxiliary
infantry

 

Auxiliary
archers

 

 

Emergency contact

Name

 

Telephone

 

Details of any health conditions,
regular medication, etc.

 

 

 

I agree to the above information being stored in a computer databank.
I agree to abide by the rules of the Roman Military Research Society. I understand that the Society is covered by Public Liability Insurance, but cannot be held responsible for any personal injury sustained by me in the course of any events or activities undertaken as a member of the Society.
I enclose 20 annual subscription (Cheques made payable to Roman Military Research Society)

Signed

 

Date

 

Signed

**

Date

 

** Signature of parent or Guardian if under 16. N.B. Please understand that you must accompany your child to events and that your child will not be able to partipate in drill displays if younger than 16 years old.

Please return completed form with your remittance to :


Valerius Abdas
72, Hillside Avenue,
Kettering,
Northants.
NN15 6EF

 

©RMRS 2010