PRE-REGISTRATION: if received  prior to July 1, 2017 (postmarked) - $5.00
OTHER REGISTRATIONS: any received after July 1, 2017 (postmarked)and walk-ons - $10.00         CHILDREN: 12 and under - no charge.
 ARTILLERY: The first 5 Artillery units who pre-register before July 1, 2017 (postmarked before) will receive a $100.00 POWDER BOUNTY.
Print and mail to:
The Battle of Dry Creek Committee
P.O. Box 211
Lewisburg, WV 24901
Your Name: ____________________________________________________, AGE (if 12 or under)______________
Your Unit and Rank (or indicate if you are portraying a peroid civilian): ___________________________
Mailing address: ___________________________________________________________________
E-mail address: ___________________@_____________ Phone # _____________________________
FEDERAL or CONFEDERATE (circle one)
INFANTRY    ARTILLERY    INFANTRY    CAVALRY or    CIVILIAN (circle one)
IF ARTILLERY, HOW MANY GUNS? ___________ TYPE OF GUN? ________________
 
IF YOUR UNIT IS NOT ATTENDING AND YOU NEED TO BE ASSIGNED TO A UNIT CHECK HERE ___________
 
Signature_________________________     Date___________
BACK
INDIVIDUAL REGISTRATION FORM
2017 RE-ENACTMENT of the Battle of Dry Creek
AUGUST 19 - 20, 2017