Registration Form

Please register before 1 Oct., 2008

First Name    Last Name
    Address
         City            State
          Zip
      Phone            Email

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 24, 25 and 26, 2008

Click here to return to the Battle of Leatherwood site to continue browsing.

Bounties are listed
on the Fees page,
including a pound
of powder to the
first 100 re-
enactors to sign up.

Battle of Leatherwood Registration

Please register before 1 Oct., 2008