JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Fort Tejon Historical Association
2023 Annual Membership Application.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
All memberships include an email subscription to the Fort Tejon Newsletter - the Adjutant's Journal as well as a FTHA Membership card. FTHA Membership also allows free admittance to FTHA events such as the annual Civil War Reenactment and GhostWalk, but not to Fort Tejon State Park Events such as the 4th of July celebration.
Membership Type
*
Individual Membership $20.00 - Must be 18 years of age or older.
Family Membership $30.00 - Includes legal spouse and dependent children under age 18.
Required
Member First and Last Name
*
Your answer
Member Birthdate
MM
/
DD
/
YYYY
Spouse First and Last Name (For Family Membership)
Your answer
Spouse Birthdate
MM
/
DD
/
YYYY
Child 1 Name (For Family Membership)
Your answer
Child 1 Birthdate
MM
/
DD
/
YYYY
Child 2 Name (For Family Membership)
Your answer
Child 2 Birthdate
MM
/
DD
/
YYYY
Child 3 Name (For Family Membership)
Your answer
Child 3 Birthdate
MM
/
DD
/
YYYY
Child 4 Name (For Family Membership)
Your answer
Child 4 Birthdate
MM
/
DD
/
YYYY
Street Address
Your answer
Home Phone
Your answer
Work/Cell Phone
Your answer
Primary Email Address
*
Your answer
Secondary Email Address
Your answer
Have you been a member of the FTHA in the past
*
Yes
No
Would you like the newsletter mailed to you in hard copy? (Add $7 to membership fee above)
Yes
No
Clear selection
Are you interested in participating in any of the administrative committees or helping at the Post Store?
Yes
No
Maybe
Other:
Clear selection
If military re-enactor please list rank, company, and regiment. If civilian, please list group and portrayl.
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of forttejonca.org.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report