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    Susan Dellaflora
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    This document is a registration form for a Civil War reenactment of the Battle of Antietam/Sharpsburg taking place June 21-23, 2013 in Reynoldsburg, Ohio. It provides information on registration fees, ranks, units, contact details, emergency contacts, tentage, and payment details for participants to register for the event by June 14th.

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    Reenactor Registration Form for the Reynoldsburg Reenactment

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    This document is a registration form for a Civil War reenactment of the Battle of Antietam/Sharpsburg taking place June 21-23, 2013 in Reynoldsburg, Ohio. It provides information on registration fees, ranks, units, contact details, emergency contacts, tentage, and payment details for participants to register for the event by June 14th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    35 views1 page

    Registration Document

    Uploaded by

    Susan Dellaflora
    This document is a registration form for a Civil War reenactment of the Battle of Antietam/Sharpsburg taking place June 21-23, 2013 in Reynoldsburg, Ohio. It provides information on registration fees, ranks, units, contact details, emergency contacts, tentage, and payment details for participants to register for the event by June 14th.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Society of Civil War Surgeons

    Reynoldsburg Civil War Reenactment


    (Reenacting the Battle of Antietam/Sharpsburg)
    at Civic Park
    in Reynoldsburg, Ohio

    June 21, 22 & 23, 2013


    REGISTRATION FORM
    Registration Fee required for Adult Participants
    Registration Fee $10.00 per Adult Participant (16 years or older)
    must be received on or before June 14, 2013
    Late Registration Fee $15.00 per Adult Participant received after June 14, 2013
    NAME (Please Print) __________________________________________ RANK ________________________
    UNIT NAME_______________________________________________________________________________
    COMMANDING OFFICER ____________________________________________________________________
    STREET ADDRESS _________________________________________________________________________
    CITY __________________________________________ STATE _________________ ZIP _______________
    PHONE (Home) ________________________________ (Cell) _______________________________________
    (Email) ____________________________________________________________________________________
    (Please Check) FEDERAL (___)

    CONFEDERATE (___)

    How will you be participating this year? (Please Circle)


    CSA Cavalry
    ARTILLERY:

    CSA

    SUTLER (___)

    CSA Infantry

    USA Infantry

    US Calvalry (Mounted or Dismounted)

    USA

    CIVILIAN (___)

    Medical

    TYPE ______________________________________________________

    EMERGENCY CONTACT _____________________________________ PHONE ________________________


    How many years have you attended this event? ______________________________________________________
    TENTAGE: WEDGE (A) #_______
    SUTLER: TENT SIZE

    WALL #_______

    __________LONG

    MODERN TENTS # _____

    SHELTER #_______

    SIBLEY # _______

    __________WIDE

    MODERN CAMPERS # _____

    SEPERATE REGISTRATION FORM IS REQUIRED FOR EACH PERSON.


    Enclose registration fees; make checks payable to Society of Civil War Surgeons. Please complete and return this
    registration form (postmarked) by June 14, 2013 to: Robert Mergel, Event Co-ordinator, 6448 Red Fox Court,
    Reynoldsburg, OH 43068.

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