Action at Wilson's Wharf 2021

Contact Information

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Affiliation

I am Representing

	Army				Branch				Other
	Union	USCT	Confederate		Artillery	Infantry	Cavalry		Sutler	Civilian	1st Person Presenter
Please check all that apply	Union	USCT	Confederate		Artillery	Infantry	Cavalry		Sutler	Civilian	1st Person Presenter

Name your Unit or Sutlery *

Cavalry:

Mounted?

Number of Horses

Please submit a current coggins test for each horse attending

ALL MOUNTED CAVALRY MEMBERS MUST PRE-REGISTER BY APRIL 15 AND SIGN THE EQUINE LIABILITY WAIVER.

No walk-ons permitted! Up-to-date coggins are required and due by May 28!

Artillery:

List artillery piece(s) your unit is bringing

BOUNTY OFFERED TO FIRST 4 FULL SIZE GUNS REGISTERED

Unit Participants

List names, ranks and email address of each unit members you are registering (including yourself). Registration fee $10 per person through April 15, 2021.

	First	Last	Rank	Email
1.	First	Last	Rank	Email
2.	First	Last	Rank	Email
3.	First	Last	Rank	Email
4.	First	Last	Rank	Email
5.	First	Last	Rank	Email
6.	First	Last	Rank	Email
7.	First	Last	Rank	Email
8.	First	Last	Rank	Email
9.	First	Last	Rank	Email
10.	First	Last	Rank	Email
11.	First	Last	Rank	Email
12.	First	Last	Rank	Email

Payment

# of Registrants *

	Command Staff/Committee Members Enter Here
	USCTs Enter Here
	All Others Enter Here

NOTE: Each box must contain a value, please place a 0 in any box that does not apply to you.

Registration fee entitles the participant to:
Campsite inside the earthwork fortification - Firewood and water provided
Saturday and Sunday battles - Saturday night artillery fire and tactical

Hay provided for horse(s) - Straw provided for bedding

Civilian activities

Thank you for supporting the preservation and interpretation of Fort Pocahontas!