First
Last
** Name :
** Street :
** City :
** State :
Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New Hamp.
New Jersey
New Mexico
New York
N. Carolina
N. Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
S. Carolina
S. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
** Zip :
** Phone :
** Email :
** Last 2 Digits of SSN# :
** Drivers License # :
** Issuing State :
Select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
New Hamp.
New Jersey
New Mexico
New York
N. Carolina
N. Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
S. Carolina
S. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
** Age :
** U.S. Citizen?
Yes
No
Gun License?
Yes
No
Binoculars?
Yes
No
Video Camera?
Yes
No
HAM Licence Call Sign:
Pilot License?
Yes
No
Own Aircraft? (describe):
Medical Training? (describe):
LEO Training? (describe):
Military Background? (describe):
Other Specific Skills? (describe):
Any Disabilities? (describe):
Will You Go on Border Watch?
Yes
No
(If Yes) How Long?
Will You Support In Other Ways?
Yes
No
Other Comments / Suggestions:
Emergency Contact (Include Phone #s):
After verification we will build a mailing list with the above info.
General info will be on website but other info will be for members-only via email.
Liability Release
I understand that TxMM is not a club or militia but an gathering of like minded people via the website and email to bring peaceful change. I understand that the actions of one INDEPENDENT TxMM agent is not the responsibility of others associated by TxMM ID. I understand I will be working with many undercover police officers and I may be arrested if I break the law. I OK a background check. I waive any right to sue TxMM management, or any group or volunteer in any State working with TxMM for any reason, or others with TxMM ID for accidents, injuries, or assaults. TxMinutemen is not responsible for my medical bills. I further waive any right to sue or demand money from any land owner in any way helping TxMM by allowing use of their land. I operate and associate with TxMM and those related to TxMM at my own risk. I assume all liability and responsibility for myself and my family. I am an Independent Agent and not a employee. I understand that I am automatically disassociated with TxMM if I get abusive or excessively argumentative, break a TxMM rule, or Standard Operating Procedure, or break a Local, State or Federal Law. I execute this understanding and waiver of liability.
Note: When we meet in person you will be asked to sign the liability form and it will be stamped by a notary public. We must protect each other, ourselves, and friendly ranchers.
Selecting I Agree and clicking the Submit button below indicates your assurance that:
the information you have supplied is true and accurate
you consent to TxMMs verification of the supplied information
you agree with and execute the above Liability Release
I Agree