SIERRA MADRE SEARCH & RESCUE TEAM MEMBERSHIP APPLICATION
"Anywhere in the wilderness that someone needs help..."
Sign in to Google to save your progress. Learn more
Email *
Last Name
*
Enter your last name - REQUIRED
First Name
*
Enter your first name - REQUIRED
Home Address *
Enter your home address. Street, city, state and zip code - REQUIRED
Home Phone
*
Enter your home phone number - "(626) 626-1234" - REQUIRED
Work Phone
Enter your work phone number - "(626) 626-1234" - NOT REQUIRED
Cell Phone
Enter your cell phone number - "(626) 626-1234" - NOT REQUIRED
CA drivers license # *
Age *
Height *
Weight *
Married? *
Spouse's Name
# of Children
Are you a student? *
Where?
Major
Year
Employer *
Employer Address *
Present position *
How long? *
Do you have any physical impairment? *
If so, describe
Have you ever been arrested? *
If so, give complete details
Name anyone you know who is a member of an LA County Search & Rescue Team:
Describe the type location, season, and frequency of any hiking, backpacking, mountaineering, rock climbing, or ice climbing that you have done. Include any other training or experience you feel might be applicable: *
Please write a short paragraph on why you want to join the team: *
Give a brief list of the major pieces of back country equipment that you have. Include the manufacturer if known: *
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Sierra Madre Search and Rescue Team. Report Abuse