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. 37115160th Battle of Shiloh Re-enactmentCompany Muster Roll
Unit Name: ______________________________________________________
Unit Contact: ___________________________________Rank: _____________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 under18)1. _______________________ 2. _______________________ 3.________________________4. _______________________ 5.________________________6. _______________________ 7.________________________8. _______________________ 9. _______________________ 10.______________________ 11. _____________________ 12. _____________________ 13.______________________ 14.______________________ 15.______________________ 16.______________________ 17.______________________ 18.______________________ 19.______________________ 20.______________________ Please attach any additional paid members. All participants, by registering for and attending this event, agree that any sponsoring host, property owner, or organization connected thereof will not be liable or responsible for loss, damage, injury, death, or property during this event.*On-site registration is be at the Shiloh Fire Hall, located at 920 TN-142 Shiloh, TN. 38376 BRING YOUR ID TO REGISTRATION!!! YOU MUST GO TO REGISTRATION AND SIGN THE "HOLD HARMLESS FORM" BEFORE GOING TO THE SITE! THANK YOU FOR ATTENDING !!
******IF PAYING BY PAYPAL , PRINT REGISTRATION FORM , COMPLETE AND BRING TO EVENT REGISTRATION OR SCREEN SHOT ON YOUR CELL PHONE AND BRING TO EVENT REGISTRATION*****