Application for membership in the
5 Gebirgsjäger Division
2. Kompanie Gebirgsjägerregiment 100
Historical reenactment unit

Please complete this entire application. Failure to complete or falsifying any information on this application will be cause for rejection or the termination of your membership.

If you have had any felony convictions stop here! By law a felon cannot posses a firearm. And we use real firearms!

Please print clearly

Name___________________________________________

Age___________________ (Must be between 16 and 50)

If you are under the age of 18 a parent must also sign here_______________________

Street address______________________________________________________________

City_______________________________________________________________________

State_____________________________ Zip code______________________________

Phone#__________________________

E-mail________________________________

Height__________________________

Weight_______________________________

Occupation________________________________________________________________

Do you have any medical conditions, physically or mentally that could become a problem in the field? If so please state. __________________________________________________________________________________________________________________

Please send with this application a recent full-length photo of yourself. Required, unless we have meet in person.

If accepted I ________________________________ agree to abide by this units authenticity standards and rules of conduct, which are described in this membership packet. Failure to do so will be cause for termination of membership.

Signature ______________________________________ Date_____________________________

Mail to: Michael Silcox
283 Edwards Rd.
Norwalk, Oh. 44857