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Application for Membership in the Deadwood Council

 

Please fill out the following application form and when you've completed it, turn your application into Field Marshal Dolphin.

You may email your application to deadwood@mail2manhunter.com or send by regular mail to:

Holistic Recovery Project, Inc.

10 Elm Street, Suite One

Freeport, Maine 04032

 

Application

Last Name:

First Name:

Middle Name:

Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

Date of Birth:

Email:

Occupation:

U.S. Citizen:

Can you attend the Academy?:

Why do you want to attend:


How did you hear about Academy:


Ever enjoyed illegal substances (If yes explain):

Ever arrested/convicted (if yes explain):


What's your favorite color?