TEXSAR Membership Application


Basic Info

(If you go by another name, middle name, etc.)

Detailed Info

(If different than street address)

Medical Info


Background Info


Please enter any other pertinent information below regarding membership to TEXSAR.

No
Yes

No
Yes

Please list below dates and details of any convictions.

Note: As a first responder organization TEXSAR utilizes emails, phone calls, and SMS to send communications. You will be able to manage your communication preferences in your TEXSAR account.