registration

Morgan County Reenactors Association
Civil War Encannpment Days
Malta/McConnelsville Ohio
July 9,19,11,2004
REGISTRATION FORM

$5.00 REGISTRATION FEE REQUIRED OF ALL PARTICIPANTS 16 yr . AND OLDER
WALK ONS $8.00 (CHILDREN UNDER 16 FREE)

NAME - (PLEASE PRINT) :

UNIT NAME:

ADDRESS :                   STREET:

CITY:                                                       STATE:              ZIP:

PHONE HOME:                                   WORK:

UNION (   )                 CONFEDRATE ( )                INDEPENDENT( )                 CIVILIAN( )

             TOTAL NUMBER OF PERSONS ATTENDING FROM YOUR UNIT :

INFANTRY ( )    ARTILLERY( )    CAVALRY, DISMOUNTED ( ) CAVALRY , MOUNTED ( )

ALTILLERY NUMBER AND TYPE OF GUNS :

MEDICAL :     SURGEONS            NURSES

CIVILIAN:     LADIES           GENTLEMEM            CHILDREN

TENTAGE:     WEDGE #            WALL#            SHELTER#             SIBLEY#
                                   MODERN TENTS#                 MODERN CAMPERS#

PLEASE LIST NAMES ,ADDRESSES AND RANK OF MEMBERS ATTENDING FROM YOUR UNIT ON THE NENT PAGE

MAKE CHECK PAYABLE TO MORGAN COUNTY REENACTORS ASSOCIATION. COMPLETE AND RETURN BY JULY 1, 2003 TO MARY ELLEN VAN HORN , TRES.   M.C.R.A.,
6777 WOOD ROAD, CHESTERHILL,OHIO 43728

Company Roll