REENACTOR REGISTRATION FORM


Battle for the Shenandoah Valley 1864


Battle Reenactments & Living History Event
Woodbury, Connecticut. Aug. 14 - 16, 2009


Checks should be made out to: Second CT. Volunteer Heavy Artillery

Mail Registration and Check to: Emily Morgante 2 Weekeepeemee Rd. Woodbury, CT. 06798
Email : jam1980emg@charter.net


Registration Deadline is July 27, 2009

Registration Fee for Reenactors: Adult Fee is $5.00 pp. Children- under 12 are free. Walk-ons will be allowed.
Name of Unit: ______________________________________USA ____CSA _____

Required: Type of Insurance: ANV _____USV ____Other_____________________

Type of Unit: Infantry ___ Artillery ____# Artillery Pieces _____

Cavalry / Horses_____ Must have Coggins and rabies certificates at registration check in.

Signal ____Civilian ____Campaigners ____

# Total Military ____# Tents: Dog/Shelter _____Wedge/A _____Fly _____ Wall ____

# Civilians ____#Minors 12 and under ____ Total:______

Camping in the town of Unity?_____ # Tents: Wedge/A _____ Fly _____ Wall _____

Special Civilian Impression: _________________________________________
Unit Contact Person: __________________________Title: ____________________
Mailing Address: ______________________________________________________
Phone: _____________________ Email: ___________________________________
Unit Commander: ______________________________Rank: __________________
Phone: _______________________Email: _________________________________

The Second Connecticut Vol. Heavy Artillery wishes to thank you in advance for helping make this Event a success!

Attach ROSTER to back of this form! Clearly print all Participant Names, Identify as Civilian, Minor, or by Military Rank.