Registration Form

Please register before 1 Oct., 2009

First Name    Last Name
    Address
         City            State
          Zip
      Phone            Email

Are you registering for:
April 11 School of the Soldier
May 16-17 School of the Soldier
October 24-25 battles

Are you registering as:
An Individual A Group A Sutler An Organization

If an Individual, are you:
Infantry Cavalry Artillery Civilian
Confederate Union

If a Group:                   Unit Designation:
Are you:
Infantry                                 Number
Cavalry                                  Number
Artillery                                 Number
Civilian                                  Number

Confederate                           Number
Union                                    Number

If a Sutler:
Company Name Products

If an Organization: Name
Will you provide demonstrators? Yes No

Comments

You may register on line, or mail a hard copy. If you prefer to mail a hard copy, send it to:
Leatherwood Re-Enactment Registration
P. O. Box 599
Cornettsville, KY 41731

October 23, 24 and 25, 2009

Battle of Leatherwood Registration

Please register before 1 Oct., 2009