*Name:  

*Email:  

*City:     

*State:  

*Phone#:

D.O.B.:  


Form Of ID and ID Number:
*(FYI) ID information is only seen by the Advisors and is used for identity verification only. Forms of ID accepted: SSN, DL#, CCW, Military ID, passport, State ID, Police officer, EMT, Firefighter ID. etc. Please use "Contact" in the slot above to contact us for other forms of ID to use.

Do you understand the Tri-State Philosophy?    Yes No

Do you believe in the Tri-State Philosophy?        Yes No

Marital Status:        Married Living together Single Divorced Separated

Children under 18?      Yes No

Military Service?        Yes No

If so,What branch?        U.S. Army U.S. Navy U.S. Airforce U.S. Marines U.S. Coast Guard Other None

Military MOS:       

Any Survival Training?       Yes No

If yes to the last question, please explain:


Are you associated with any other survival/preparedness groups?
(If so, please list)


Is there anything else you would care to share with us?:
(Interests, training, job skills, hobbies, etc.)


How did you hear about the TSC?:


What are you looking for from TSC and what do you feel
you can contribute to TSC?


     or     



If there is a problem submitting this application, please
cut and paste the information into an email and send to:


If you do not receive an email within one week of submitting
your application, please contact us regarding your application.
Thank you.