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Application for Membership
Date of Application
*
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
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21
22
23
24
25
26
27
28
29
30
31
Year
Year
2023
2024
2025
2026
2027
Application for
*
- Select -
Veteran Membership
Guardian Membership
Applicant
*
New Applicant
Returning Member/Update
Personal Information
Full Name
*
Date of Birth
Month
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
19 years or older
*
Yes
No
Street Address
*
City
*
Province/State
*
- Select -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
------------------------
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
IllinoisIndiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal/Zip Code
*
Phone
*
Email
*
Emergency Contact
For use only in case of emergency during organized activities/gatherings/rides
Name
*
Phone
*
Veteran Applicants Only
Type of Service
Total Years of Service
Years
Branch of Service
Army
Navy
Air Force
Select all that apply
Other Branch of Service
Currently Serving
Yes
No
Service Number
Agreement
*
I certify that I have read and agree to the Freedom Fighters Rules of Engagement & Code of Conduct
I certify that I am not affiliated with any known criminal organizations/groups/activities
