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Registration 160th Battle of Shiloh Re-enactment Company Muster Roll

Reenactor & Civilian Registration:
Please complete this form and include registration fee and a complete list of all paid members of your company by name and rank who will be attending our event. If registering Civilian, please indicate this in the place of rank. Please print all information.
Unit Name: _____________________________________________________________________________
Unit Contact: ______________________________________________ Rank: ________________________ Address: _______________________________________________________________________________ (Street, City, State Zip)
Phone #: (_______) ____________________________ E-mail: ____________________________________ Type of Unit & Number of Participants Please check one: Number of troops: Camping type: _____ Military _____ Campaign _____ Civilian_____Confederate _____Infantry _____ Cavalry _____Dismounted Cavalry _____ Artillery _____Federal _____ Infantry _____ Cavalry _____Dismounted Cavalry _____ Artillery _____Number of horses_____Dismounted Cavalry _____Signal _____Medical _____Civilian _____Engineer If Artillery is checked, please specify the number and type of cannon. ________________________________ __________________________________________________________ Reserve _______ Mounted ________ (Note Artillery: Please read the artillery guidelines before registering)
Note: Confederate units may be requested to galvanize for one of the two event battles. This will ensure that proper troop ratios can be obtained. This will be avoided, if at all possible, but as you realize, it honors no one by having a large force being driven by a much smaller force on the field. Please assist and cooperate to ensure that all participants enjoy realistic battles. Requests shall be handled by the respective CS or US Commanding Generals, so please volunteer in advance. Thank you. If Confederate, will galvanize on which days' battle: (Please check one) Saturday_____ Sunday_____
Confederate, Federal, & Civilian Pre-registration received by: Feb. 28th. 2022, registration is $25.00 each March 1st.. until March 21st. 2022 late registration will be $30.00 eachRegistration will close after March 16th. 2022. On-site registration will be $40.00 eachTotal number of paid participant’s __________ Total amount enclosed $ ___________
Make checks payable to the "1st Division/SRA" and send to:
1st Division/SRA Care of Earl Stocks717 Allen PassMadison, TN. 37115 Unit Name:____________________________________________________________________________________________ Unit Contact____________________________________________________________________________________________ Contact Number___________________________________________Email_________________________________________ Rank & Name ( No nicknames- Please print legible) Note: if registering as a Civilian, please indicate "Civ." in place of rank. Name: Rank: Age (if under 18) 1._________________________ _____ 2._________________________ _____ 3. _________________________ _____ 4._________________________ _____ 5. _________________________ _____ 7. _________________________ _____ 8. _________________________ ____ 9. _________________________ _____ 10._________________________ ______ 11. _________________________ ______ 12. _________________________ _____ 13. _________________________ _____ 14. _________________________ ______ 15. _________________________ _____ 16. _________________________ _____ 17. _________________________ _____ 18. _________________________ ______ 19 _________________________ ______ 20. _________________________ ______ 21. __________________________ _____ 22. __________________________ _____ Please attach any additional paid members. All participants, by registering for and attending this event, agree that any sponsoring host, property owner, or organization conneccted thereof will not be liable or responsible for loss, damage, injury , death, or property during this event. *On-site registration will be at the Shiloh Fire hall, located at 920 Tn-142 Shiloh Tn. 38376 BRING YOUR ID TO REGISTRATION!!! YOU MUST STOP AT REGISTRATION AND SIGN YOUR "HOLD HARMLESS FORM" BEFORE GOING TO SITE!! ***** IF PAYING BY PAYPAL, PRINT REGISTRATION FORM, COMPLETE AND BRING TO EVENT REGISTRATION OR SCREEN SHOT ON CELL PHONE AND BRING TO EVENT REGISTRATION*****
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