Application Template

(Your Picture)

Name:(Last)______________(First)_____________(MI)_______
Date:(YYYY-MM-DD)______________
Callsign:"_______________"
Age:____
Sex:(Circle One) Male/Female
D.O.B.:(YYYY-MM-DD)______________
Address:________________________________________________________
_______________________________________________________________
Phone:(Circle One) Cell/Home____________________
Emails, Usernames, Networking:_____________________________________
____________________________________________________________________
Position Classification:(Circle) GDR/AR/RFL/Snpr/TL/Asst. TL/CO/XO/CMC/MDC/SL (To Be Filled Out By Admin.)
Rank:(Circle) CDR/LCDR/CMC/Sgt/Cpl/LCpl/Pvt/It (To Be Filled Out By Admin.)
Events Attended:______________________________________________________
____________________________________________________________________
Admin. Notes:_________________________________________________________
____________________________________________________________________
Current Munitions:______________________________________________________
______________________________________________________________________
Allergies and/or Asthma:_______________________________________________
___________________________________________________________________________

Disclaimer:

I understand that the Eastern Outlawz is not responsible for lost or stolen equipment. I understand that the Eastern Outlawz is not reponsible for injuries that I might sustain at home or at away games. I signify that I forfit my right to sue the Eastern Outlawz and it's members because of differences, conflicts, or injuries I might sustain. I signify that I will adhere to the rules of the NCAO and/or SCAA and follow them at all times. I signify that I will be responsible and mature and not endanger another member. I give my permission for the Eastern Outlawz and/or it's members to transport me to in and out of state events and activities. I signify that I will not discriminate other members based on race, gender, religion, or creed. I signify that I am at least 18 years old and not a minor. I understand that airsoft can be a dangerous sport and has it's hazards. I signify that I have listed any allergies and other medical conditions that I feel are notible in the event that I suffer from an attack.

I Have Read and Understood all of the rules of the NCAO, SCAA, and the Eastern Outlawz.
I signify that all of the information I have provided is accurate and credible.

Signature:___________________________ Date:___________________.