POC MEMBER'S

TO BECOME A MEMBER PLEASE SUBMIT AN ONLINE APPLICATION

THESE PERSON'S ARE OUTCASTED PEOPLE THAT WILL HELP US IN GETTING INFORMATION OR HELPING US PLAN AN EVENT WHICH MAY BE 90 MILES AWAY.THESE GUYS ARE FROM WERE EVERY WE ARE PLANNING TO GO AND WE WILL COMMUNICATE WITH THEM TO GET OUR NEEDED INFO BEFORE MAKEING ANY PLANS.

TO BECOME A MEMBER OR TO REQUEST INFO, PLEASE FILL OUT THIS APPLICATION AND LIST YOUR QUESTIONS OR COMMENTS IN THE BOX PROVIDED,TO SIGN UP FOR A MEMBER, COMPLETE FORM AND SUBMIT,WE WILL REVIEW IT AND MAKE CONTACT WITH YOU ASAP.WE DO AHVE THE RIGHTS TO STOP ANY APPLICATIONS, OR TO STOP EXCEPTING APPLICATIONS IF WE DO NOT NEED ANYMORE MEMBERS.HOWEVER WE WILL STILL FILE YOUR APPLICATION INCASE WE NEED YOU.WE ALSO HAVE THE RIGHT TO RUN A BACK ROUND CHECK ON YOU OR QUESTION ANYONE FOR INFO ABOUT YOU.

FIRST NAME:
MIDDLE INTL:
LAST NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE:
EMAIL ADDRESS:
DATE OF BIRTH:
AGE:
SEX:	MALE FEMALE
ARE YOU PHYSICALY ACTIVE?:
ANY MEDICAL RESTRICTIONS?:
IF YES PLEASE EXPLAIN:
ARE YOU CPR/FIRST AID CERTIFIED?:
ARE YOU INTERESTED TO BE?:
PLEASE CHOOSE A COLOR YOU WISH TO USE:
PLEASE CHOOSE A NUMBER YOU WISH TO USE:
PLEASE CHOOSE A NICKNAME TO USE:
DO YOU WORK OR GOTO SCHOOL?:	WORK 24/HR CALL EMERGENCY OR GOVERNMENT AGENCY SCHOOL
PLEASE CHOOSE YOUR DESIRED INTEREST:
HOW YOU HEARD ABOUT US:
COMMENTS OR QUESTIONS:

IF ANYONE IS CAUGHT FRUADING,COPYRITING, OR ACTING AS A MEMBER IN ANYWAY OR USING OUR LOGO AS A MEMBER AND YOU ARE NOT REGISTERED WITH US. YOU MAY BE FINED BY PENALTYS OF THE LOCAL,STATE,OR FEDERAL LAWS AND OR ITS AGENCIES.