Membership Application

EXTREME Search, Rescue and Recovery requires this form
to be completely filled out and verified prior to acceptance.
"$25.00 Annual Membership Fee Required Through PayPal"

Name * Title First Last Suffix
Information listed on this form may be forwarded to Law Enforcement officials if applicable. "Please List Full Legal Name"
Nickname

This name is what will be on your membership card. First name only.
Address *
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Please include mailing and physical address!
Email

To Receive Updates and Notices
Date of Birth * / MM / DD YYYY
When you were born!
Race: *
Weight: *
Height: *
Hair: *
Eyes: *
Phone-Daytime: * - (###) - ### ####
Phone-Evening: * - (###) - ### ####
Phone-Cell * - (###) - ### ####
Best Time to Call: * Morning.........7am-12pm EST Afternoon.......12pm-6pm EST Evening..........6pm-10pm EST
We try to make all calls within selected time but we cannot guarntee a specific time.
Employed By: *

If not employed enter "NONE"
Emergency Contact Name: * First Last
Required for those participating in any Physical Searches away from the Command Center.
Emergenct Contact Phone: * - (###) - ### ####
Required for those participating in any Physical Searches away from the Command Center.
Health: * Fair Good Excellent
Searchers are required to be in at least Good physical shape in order to participate in physical searches away from command center.
Do you have any Medical Conditions that
our staff or leaders need to know about? * Yes No
If Yes, Please Explain:

IMPORTANT-This could be lifesaving information. This information will be kept confidential.
Have you ever been convicted of a felony? * Yes No
Criminal Background Checks May Be Required.
If Yes, Please Explain:

Criminal Background Checks May Be Required.
Have you ever been convicted of a crime against
a child, family violence or moral turpitude? * Yes No
Criminal Background Checks May Be Required.
If Yes, Please Explain:

Criminal Background Checks May Be Required.
Do you have any SAR related Experience,
Certifications, Training or Special Skills? * Yes No
Not Required for Membership.
If Yes, Please List:

Not Required for Membership.
Please list any SAR equipment you may have to assist
ESRR/KFN in search, rescue and recovery efforts.

Any Equipment such as ATV's, Horses, Boats, Search and Rescue Canine, Etc... Not requried but will be appreciated.
Do you hold a Concealed Weapons or Carry Permit? * Yes No
If YES, you are required to notify ESRR/KFN prior to any activitiy. ESSR/KFN does not required any memeber to carry a Concealed Weapons or Carrying Permit. If you choose to do so, you do at your own risk and must abide by all State and Federal Laws.
Please check each of the following activities
you are interested in helping with: * Ground Search Boat/Marine Scuba Diving ATV's Horses Canine SAR Air/Pilot Bilingual-Spanish etc... Researcher by Phone Public Relations/Speaking Training Events Flyer Distribution Search Team Meals Equipment Maintenance Carpenter Skills Trade Show Support Command Center Support Printing/Copying Services Event Planning Fundraising/Grant Writing Computer/Data Base Skills Legal Support Medical Support Security/ Investigative Services Other Activities
Please check all areas that you are interested in assisting with.
Terms and Condtions:
I Agree to EXTREME Search, Rescue and Recovery/Kid Finders Network conducting a complete background check if applicable. I Agree that no information with reqard to searches will be released to any member of the news media, made public in any way or used for personal use of any kind. I Agree all information, paperwork or equipment issued etc. are the property of EXTREME Search, Rescue and Recovery/Kid Finders Network. I will not take photographs or video on any sanctioned searches or events, without the permission of EXTREME Search, Rescue and Recovery/Kid Finders Network supervisory personel. I understand that any tip or information of any kind pertaining to a potential criminal case must be reported and that removal of anything from a search area may be considered interferring with a criminal investigation, a prosecutable offense. I Agree to hold EXTREME Search, Rescue and Recovery/Kid Finders Network harmless with regard to any personal injury or injury, damage or theft to personal property, equipment, including horses and dogs by volunteering or being a member of EXTREME Search Rescue and Recovery/Kid Finders Network. By my signature below I accept these terms. Membership is a privilage and may be denied or revoked at any time. We reserve the right to refuse membership to anyone for any reason.
Signature: *

By signing this you are agreeing to the Terms and Conditions on this form by ESRR/KFN.
Todays Date * / MM / DD YYYY
Date application submitted!
I Agree to paying the $25.00 Membership Fee. * Yes No
This payment is required for memebership. You will be redirected to check out after submitting form.
Comments/Suggestions

Your thoughts are important to us to help better our organization, teams and members. Without you we would have nothing. Thank You for your interest.
Referral Member Number *

NOTE: If you do not have a Referral number enter "0000"
Type the letters you see in the image below.

Membership Application

Membership Application

Terms and Condtions: