Membership Application Form

(Microsoft Word Document - Click on above link to open form for printing.)

 

Uniform Guide

 YOUR KREWE UNIFORM CAN BE PURCHASED AT THE FOLLOWING ARMY NAVY STORE LOCATIONS:

1450 Skipper Road in Tampa - PHONE 813-971-8805
146 N. Parsons Ave. in Brandon - PHONE 813-685-8049

Other uniform resources:
BLACK HATS FOUND AT
Russels Western Wear
6027 N. Dale Mabry
813-877-1363


THE ARMY NAVY STORE WILL SUPPLY YOU WITH THE FOLLOWING:

2            NAVY BLUE SHIRTS
1            NAVY BLUE SLACKS
1            OFFICER’S BRAID
1            SET OF CAPTAIN’S BARS
1            SET OF CROSSED SABERS
8
            BRASS BUTTONS
1
            BEIGE BEAD BAG (OPTIONAL)

YOUR UNIFORM SHOULD BE ACCOMPANIED BY A BLACK BELT AND COMFORTABLE BLACK SHOES OR BOOTS.

YOU WILL THEN NEED TO TAKE THE ABOVE TO A SEAMSTRESS TO HAVE A YELLOW STRIPE SEWN ON THE PANTS AND YELLOW SCARF MADE AS WELL.  THEY WILL USE ONE OF THE SHIRTS TO MAKE THE BIB.  YOU CAN ALWAYS BORROW A FELLOW MEMBERS UNIFORM FOR A GUIDE.

OUR OFFICIAL SEAMSTRESS IS:    

 HEATHER KIRCHEN  
813-220-8015

 SHOULD YOU HAVE ANY QUESTIONS PLEASE CALL:

 DICK OR DIANE KIRCHEN  
 
HM:  813-835-5034            WK  813-207-5030

TODD BRAY
HM  813-839-0345               WK  813-264-0440

 

KREWE OF FORT BROOKE, INC.

5005 S ELBERON ST.  TAMPA, FL  33611                  813-835-5034

  APPLICATION FOR MEMBERSHIP  

NAME __________________________________________DATE____________________

HOME ADDRESS___________________________________________________________

CITY __________________________ STATE______________ ZIP__________________

HOME PHONE ___________________________WORK PHONE_____________________

DATE OF BIRTH __________________  OCCUPATION ___________________________

DRIVERS LICENSE __________________________________STATE _________________

EMPLOYER ______________________________________________________________

EMPLOYER ADDRESS, STATE ZIP ____________________________________________

HOBBIES ________________________________________________________________

E-MAIL ADDRESS__________________________________________________________

NAME, ADDRESS, & PHONE NUMBER OF NEAREST RELATIVE OR EMERGENCY CONTACT

________________________________________________________________________

________________________________________________________________________

SPOUSE ______________________________ EMPLOYMENT & PHONE # ____________

________________________________________________________________________

MEMBER WHO IS YOUR SPONSOR ___________________________________________

 I AGREE TO SAME TO SAVE AND HOLD HARMLESS THE KREWE OF FORT BROOKE, INC. FROM ANY AND ALL LIABILITY ARISING FROM DISCLOSURE OF INFORMATION BY ANY LAW ENFORCEMENT AGENCY OR OTHER ENTITIES THAT MATERIALLY AFFECT THE MEMBERS OF THE KREWE.

  ______________________________________________________

APPLICANT SIGNATURE

  MAKE CHECK PAYABLE TO THE KREWE OF FORT BROOKE, INC. 
CHECK FOR
FIRST YEARS DUES MUST BE ATTACHED OR APPLICATION WILL NOT BE CONSIDERED.
PLEASE VERIFY THE CURRENT AMOUNT OF DUES.
 

ANY QUESTIONS CALL:

DICK KIRCHEN     WK:  207-5030  HM: 835-5034

TODD BRAY  WK:  264-0440  HM: 839-0345