Jacksonville's 15th Annual Civil War Reenactment

Unit Name:		Not With a Unit:
Please have your Unit Commander fill out this form so we have only one form per unit.
Confederate Infantry:		Union Infantry:
Confederate Mounted Cavalry:		Union Mounted Cavalry:
Confederate Dismounted Cavalry:		Union Dismounted Cavalry:
Confederate Artillery:		Union Artillery:
Confederate Medical:		Union Medical:
Name:
Address:
City:		State:	Zip:
Daytime Phone:		Evening Phone:
Email Address:
Total Number Registering, including dependants and minors in period clothing:
# of Infantry:		# of Medical:	# of Civilians:
# of Artillery:		# of Mounted Cavalry:	# of Dismounted Cavalry:
# of Artillery Pieces:		# of Horses:
Please list the names of all members of your Unit attending including any minors.

Would you be interested in helping in our Prairie Play Area?	YesNo	If you answered YES, what area would you like to help with?
Would you be interested in helping with our Registration / Information Tent?	YesNo	If you answered YES, what day / time could you help?
Individual Registration is still required onsite. Registration tent will be near the center of the park.