WWIIHA Membership Application

First Name *

Last Name *

Street Address *

Address Line 2

City *

State

Country if not USA

Zip Code *

Phone Number *

Email Address *

I allow emails to be sent regarding WWIIHA information

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Select type of membership you are applying for *

I certify that I am over 18 years old *

Check which type of impression you do *

Are you currently a member of a reenacting or living history group? *

If yes, what is the name of the organization?

Provide the name of 1 reenactor, with at least 5 years experience, to act as reference. *

Provide the email of given reenactor. *

Provide the name of a 2nd reenactor, with at least 5 years experience, to act as reference. *

Provide the email of given reenactor. *

Do you have prior military service with an honorable discharge? *

If you are a veteran, please indicate branch of service, unit and years of service.

Do you suffer from a medical condition we should be aware of? *

If a medical condition makes it unsafe to participate in an event, please explain.

Do you have a medical condition that would prevent you from handling or being exposed to the use of firearms? *

If yes, please explain.

Have you ever been convicted of a felony? *

If you have been convicted of a felony, please give a brief explanation, including date, location and offense.

Are you now, or ever, a member of an organization which advocates or approves the commission of acts of force and violence, to either overthrow the government of The United States of America, or seeks to deny others their rights under The Constitution? *

If yes to being a member of such organization, please list name and address of organization.

I HEREBY CERTIFY THAT I HAVE ANSWERED ALL OF THE ABOVE QUESTIONS TRUTHFULLY. Required *