Re-enactor Registration Form

Unit Designation

Unit Point of Contact (POC)

Rank

POC Street or PO Box

POC City

POC State

POC Zip / Post Code

POC Phone

POC Email

Please choose 1 (note: full time CS approval based upon US pre-registered and/or agreement with battalion commander)

Choose appropriate branch

Cavalry # of Horses (if applicable)

Artillery # of horses (if applicable)

Artillery: list # and type of guns (and limbers) Note: Full scale cannon only

Estimated # of soldiers attending

Estimated # of Women attending (no women in uniform)

Estimated # of Children attending

Please list All participants and rank

Campsite Preference

Scheduled Day/Date/Time of your arrival

1+1=? *