HomeMy WebLinkAboutCivil Defense Registration 1962 TE . Vu1:1For
BB&. 0S COUNTY CIVIL DEFENSE
ry F e m i t T' FORM
RM
x. a? & a � ti .ti . Jlv it'
T 2 : x_208_,Per ) a-
skiing_ Avenue.._..
. :7R " ad ° ss Phone
Col . o :��_.1Riitr, Sex M 1p ' -.." `-' American 14. �t0 ----
Heigett_ 516vHair_li t Brown__ Blood Type 7 _..._
brown
Occupy ian __. �. .S1;ud _ent
Education El ementaranZ n or Ri gh _..__
Special Skills or Traie,ng related to Civil Defense ''ark -
(first aid, rescue, & ste.) amall ammirt of firs# 2iR
In Case of emergency notify y/i M or Yrs- 1rt_p'_
Reagett, 208 Pershing, C_S.
OATH
"I, Sohn R llzott , do solemnly swear (or affirm)
that I wil support and defers the Constitution of the Unitod
States and the Constitution of the State of Texas, against
all enemies; foreign and domestic; that I will bear true
faith and allegiance to the se m; that I take this obligation
freely, without any mental ressrsration or purpose of evasion;
and that I will yell wed faithfully ly discharge the duties upon
which I am about to enter. And I do further swear (or affirm)
that I do not adNoca.te, nor am. I a member or en affiliate of
any political party or organization, group or combination of
persons that advocates the overthrow of the Government ef the
United States or of this State by force or violence; and that
during such tine as I am a member of the County Ci• it Defense
and Disaster Relief Committee of the County of Brazos t will
r t advocate nor become a member or an affiliate of any or-
ganization, group, or combination of persons or of any pelit-
ic. tl party that advocates the overthrow of the Government of
the United States or of this State by force or violence."
41/7 ,4
Approved by: Signature
Coordina.tor Rican