EmailMe Form - New Member Registration

Name *

First MI Last

We need your legal name as it appears on your driver's licence/State ID

Preferred Name

First Last

Email *

Home or Cell Phone *

### - ### - ####

Birth Date *

MM / DD / YYYY

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Preferred method of contact? *

Phone

Email

Snail Mail

Other

If "Other", can you specify.

Member Status (Please Mark Only One) *

Two Spirit

Native Ally

Affilialte

Current Gender (Check all that apply, don't be afraid to be specific) *

Ethnic Background *

If unsure please note as either "unsure", "these are the possibilities....", or "(not proven)"

Are you registered with a Native American tribe? (Documentation is not required to be a member) *

Yes

No

In Progress

Would you like assistance finding your ethnic documentation? *

Yes

No

I would like or plan on...

Getting More Involved

Running for Society Office

Applying for a Society Email Address

Authorizations

*Selecting 'Yes' is mandatory in order to join as a member of any kind

I am comfortable having my name listed publicly as a member"

Yes

No

I am comfortable with my name being published or broadcasted in the media when I am part of an event.

Yes

No

Contact me before publishing

I am comfortable with the publishing of pictures, recordings, and video with me in them.

Yes

No

Contact me before publishing

I am comfortable with the publishing of pictures, recordings, and video with me in them.

Yes

No

Contact me before publishing

I agree to the policies, terms, and conditions. (attached to the bottom of this form in bold) *

Yes

No

Contact me before publishing

Terms and Conditions

I agree to do my best to have fun and benefit the greater good in life, in doing so I will do my best to learn as much as I can about two spirited people and my own heritage and ancestry. Furthermore, I agree to respect each individual, while in the presence of or representing the Texas Two Spirit Society, with consideration for who they are or may be as each individual wants to represent themselves as a person. In this, I also agree to abide by the guidelines stated in our "Gathering and Meeting Etiquette Guidelines". I also agree that Texas Two Spirit Society is not responsible or liable for any negligent, illegal, or irrational behavior that I may partake in, even if Texas Two Spirit Society condones the behavior aside from the legality of the action.

Signature *

Clear