Sic Semper Tyrannis

--

Thus Always to Tyrants

.

King George County

Constitutional Militia

​King George, Virginia

King George County Constitutional Militia

King George, Virginia

Enlistment Record

CONTACT INFORMATION

Name (Last, First, Middle): ____________________________________________________________________________

Date of Birth (MM/DD/YYYY): ______ / ______ / ________  County: ___________________________________________

Telephone: (______) ______ - ______ Email: _____________________________________________________________

WEAPON TYPE

Pistol: _______________________________________ Long Gun / Rifle: _______________________________________

CCW # : _________________________________ CCW Expiration Date:_______________________________________

RELEVANT EXPERIENCE

Former Military Y / N (circle)                       Branch of Service: ________________                       MOS: ________________

Former Law Enforcement? Y / N (circle)

EMERGENCY CONTACT INFORMATION

Name (Last, First, Middle): ____________________________________________________________________________

Telephone: (______) ______ - ______    Relationship: ________________​

OATH FOR ALL MEMBERS

• I, (Name), do solemnly swear (or affirm) that I will support and defend the Constitution of the United States, and the Constitution of the Commonwealth of Virginia against all enemies foreign and domestic; I will bear true faith and allegiance to the same; I will obey the lawful orders of those appointed over me, I take this obligation freely, without any reservation or purpose of evasion.
  

Volunteer’s Signature: _______________________________________ Date (MM/DD/YYYY): ______ / ______ / ________ 

• I, the undersigned, do hereby certify that the above is true and accurate to the best of my knowledge. I further understand that by signing, I am voluntarily committing myself to militia service according to my Oath.
  

Volunteer’s Signature: _______________________________________ Date (MM/DD/YYYY): ______ / ______ / ________ 

Witnessing Officer’s Signature: ________________________________ Date (MM/DD/YYYY): ______ / ______ / ________