Membership dues are $30.00 per year. The dues include unit dues, membership in Brigade Napoleon, and liability insurance coverage.
Print out this form and send a filled out copy, along with your check for $30.00, to
Guardia Reale Italiano
David Giovannini
3 Eleanor Drive
Worchester, MA 01605
Make checks payable to David Giovannini.
NAME _____________________________________________________
STREET ____________________________________________________
APT. or STE NO. _____________________________________________
CITY _______________________________________________________
STATE/PROVINCE ______________ POSTAL CODE __________________
EVENING TELEPHONE NUMBER __________________________________
E-MAIL ______________________________________________________
DATE OF BIRTH _______________________________________________
FAMILY (if joining as a family):
SPOUSE ______________________________________________________
OTHERS ______________________________________________________
______________________________________________________
REENACTMENT OR LIVING HISTORY EXPERIENCE
SPECIAL SKILLS OR HOBBIES
PORTRAYAL:
SOLDIER MUSICIAN SURGEON CAMP FOLLOWER:
Minors are required to be supervised. List any minor for whom you will be responsible by name and age. In the case of minors portraying drummers or other also note the name of the adult accepting responsibility for the minor.
MINORS NAME ____________________________________________________
MINORS NAME ____________________________________________________
MINORS NAME ____________________________________________________
Signature of Guardian _________________________________________________
I hereby forward this application to join the Guardia Reale and agree to abide by the procedures and rules regarding safety and authenticity and will also represent the Unit and Brigade Napoleon to the best of my ability until I resign in writing to Headquarters. No officer of the unit may be held financially responsible in the event suit may be brought against the Guardia Reale and its membership.
Signed: ____________________________________________________
Date: ______________________________________________________
Annual Dues: $30.00
David Giovannini is authorized by Brigade Napoléon to act as its agent in the collection of dues and subscription costs for the publication of, and distribution of Brigade properties.
If you are interested in becoming a member of the guard contact:
David M Giovannini
3 Eleanor Drive
Worchester, MA 01605
DGiov@aol.com