Become a Member - Blackbeard's Crew of Hampton, Virginia

Full Name

First

Last

Street Address

City

State

Zipcode

Email

Yer Age Mate?

Level of Membership Desired (Check One)

Associate Member
Pirate / Wench in Training

Pirate / Wench in training can lead to full coin carrying status with all the privileges afforded by ships articles

Additional Information

information Required for consideration

The following questions must be Anwered for your application to be processed

Are you restricted by law from having contact with children under 18 years old?

No
Yes

If you answer yes Write in the specific limitations in the Additional Information block.

Are you Restricted by law from posessing firearms or other weapons

No
Yes

Being prohibited from possessing a firearm does not automatically disqualify and individual from membership to the crew, however it may limit some participation during living history events. Consideration for membership will be done on a Case by Case basis.

If yes to any restrictions Tell us about the restrictions here:

Do you have Living history Experience?

Yes
No
No but willing to Learn

If yes Tell us what experience you have in the next Field.

Living history Experience if any list them here mate.

Interest Areas

Based on your observation of Blackbeard’s crew and our events What areas would you like to participate in? What looks like it would be fun for you. Check all that could apply.

Anything else that you want the crew Captains and First officers to know about you?

City about by

Incase of Emergency Contact information: Name

Incase of Emergency Contact information: Address

Incase of Emergency Contact information: City

Incase of Emergency Contact information: State

Incase of Emergency Contact information: Phone

Sign this (Make yer Mark)

Whatever ye place in this block is your Legal Signature and ye swear all is true.

Become a Member and Help Preserve Our Maritime Heritage