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  • Registration Form V 2

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    The document is a registration form for a Civil War reenactment event hosted by the Independent Rifles portraying the 21st Mississippi Infantry Regiment at Gettysburg National Military Park from September 9th-11th, 2016. Registration fees are non-refundable and incomplete forms will not be processed. Participants must follow all NMP guidelines and the host unit's standards, and can be asked to leave at any time. The form requests contact and medical information and requires a signature. Registration is $10 by check or money order postmarked by August 27th, with no late registration accepted.

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    The document is a registration form for a Civil War reenactment event hosted by the Independent Rifles portraying the 21st Mississippi Infantry Regiment at Gettysburg National Military Park from September 9th-11th, 2016. Registration fees are non-refundable and incomplete forms will not be processed. Participants must follow all NMP guidelines and the host unit's standards, and can be asked to leave at any time. The form requests contact and medical information and requires a signature. Registration is $10 by check or money order postmarked by August 27th, with no late registration accepted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    129 views2 pages

    Registration Form V 2

    Uploaded by

    api-306932269
    The document is a registration form for a Civil War reenactment event hosted by the Independent Rifles portraying the 21st Mississippi Infantry Regiment at Gettysburg National Military Park from September 9th-11th, 2016. Registration fees are non-refundable and incomplete forms will not be processed. Participants must follow all NMP guidelines and the host unit's standards, and can be asked to leave at any time. The form requests contact and medical information and requires a signature. Registration is $10 by check or money order postmarked by August 27th, with no late registration accepted.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Registration Form

    The Independent Rifles host:


    Mississippi at Gettysburg: Barksdales 21st MS INF
    Gettysburg NMP

    September 9th-11th 2016


    Registration fees are non-refundable. Incomplete registration submissions will
    not be processed. NO SUBSTITUTES!
    Name: _______________________________________________________
    Captain: _____________________________________________________
    Address: _____________________________________________________
    City:_________________________ State:__________ ZIP:______________
    Phone:________________________
    Email:_____________________________
    Age:_________________________________
    Guardian, if under 18:___________________________________
    Medical Conditions:_________________________________________
    Emergency Contact information: ________________________________
    Signature___________________________________ Date:_______
    You will be required to follow all NMP Guidelines and regulations, and
    must conform to the guidelines and standards of the event. Gettysburg
    NMP and the host unit reserve the right to ask participants to leave the
    event at any time.
    Please make out all checks and money orders to Tyler Gibson.
    The address to send these forms to is:
    Tyler Gibson
    1433 Charleston Ln
    Columbia, TN 38401
    Registration will be $10 paid via check or postal money order postmarked NLT 27
    August, 2016. There is no late registration.

    Due to technical difficulties, please copy/paste the form to word or your word processor
    of choice and print the form out that way.
    Thanks! - Tyler Gibson

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